| NPI | 1952330615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHRIS SLUDER Practice Administrator 706-291-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0700X | |
| 2085N0904X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-10-28 |