| NPI | 1952180887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN PEARSON PEYTON Manager 904-553-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-02 |