Organization Name: | DOCTORS HOSPITAL NORTH AUGUSTA IMAGING CENTER LLC |
NPI Number: | 1275798936 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAVELLE R HARDIN (MANAGED CARE ANALYST) |
Mailing Address: | 105 Hugh Street Suite A North Augusta |
State: | SC US |
Postal Code: | 29841 |
Phone Number: | 8034262000 |
Fax Number: | 8034262041 |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |