| NPI | 1932624723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHARVAT Managed Care Director 404-296-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-07-19 |