Waccamaw Ultrasound & Diagnostics
NPI #1043593395 in Lake Waccamaw, North Carolina
Provider Information
- NPI Number
- 1043593395
- Entity Type
- Organization
- Organization Name
- Waccamaw Ultrasound & Diagnostics
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Sep 22, 2011
- Last Updated
- Sep 22, 2011
Practice Location
- Address
- 112 E WHITE OAK ST
- City
- Lake Waccamaw
- State
- North Carolina
- ZIP Code
- 28450-2128
- Phone
- (910) 642-9085
Authorized Official
- Name
- ANTHONY GRIGSBY
- Title
- PRESIDENT
- Phone
- (910) 642-9085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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