Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI Number | 1356563589 |
| LBN Legal business name | EFFINGHAM OPEN MRI, LLC |
| Authorized official | DAVID HORACE - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/03/2007 |
| Last updated | 02/23/2009 - About 17 years ago |
| Identifiers | n/a |
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