Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 10, 2007
License(s)
36222 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 751461 | Charlotte, NC 28275-1461 | 843-792-6200 |
| LOCATION | 171 ASHLEY AVE | Charleston, SC 29425-8908 | 843-792-1414 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.