| NPI | 1992789473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRADY Md Authorized Official 843-724-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-03-16 |