Organization · Type 2 NPI
Southeast Regional Virtual Imaging Consulting Enterprise PA
Diagnostic Radiology Physician · Campobello, SC
NPI number
1205844586
Active
Practice location
225 Stable Gate Dr
Campobello, SC 29322-8037
Fax (864) 468-5239
Mailing address
PO Box 52990
Greenwood, SC 29649-0048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 16566 (SC) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
About NPI 1205844586
Southeast Regional Virtual Imaging Consulting Enterprise PA's National Provider Identifier is 1205844586, issued on Aug 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Campobello, SC. The record was last updated on Dec 21, 2007.