Organization Name: | SOUTHEASTERN IMAGING CONSULTANTS, LLC |
NPI Number: | 1053353508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND F EVELAND (MEMBER) |
Mailing Address: | 3100 Duraleigh Rd Suite 101 Raleigh |
State: | NC US |
Postal Code: | 276128104 |
Phone Number: | 9197859091 |
Fax Number: | 9197859776 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |