Organization · Type 2 NPI
Waccamaw Ultrasound & Diagnostics
Radiology Clinic/Center · Lake Waccamaw, NC
NPI number
1043593395
Active
Practice location
112 E White Oak St
Lake Waccamaw, NC 28450-2128
Mailing address
1515 Medical Center Dr
Wilmington, NC 28401-7507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1043593395
Waccamaw Ultrasound & Diagnostics's National Provider Identifier is 1043593395, issued on Sep 22, 2011. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Lake Waccamaw, NC. The record was last updated on Sep 22, 2011.