| Organization Name: | HEALTHCARE CORRECTIONS X-RAY |
| NPI Number: | 1013205640 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA MARIE OXENDINE (BUSINESS ADMINISTRATOR) |
| Mailing Address: | 105 Crestview Dr Sylvester |
| State: | GA US |
| Postal Code: | 317917166 |
| Phone Number: | 2297779214 |
| Fax Number: | 2297770159 |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 04/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |