| NPI | 1912136524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY FARROW COO 770-506-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-12-16 |