Southeast Regional Virtual Imaging Consulting Enterprise PA
NPI #1205844586 in Campobello, South Carolina
Provider Information
- NPI Number
- 1205844586
- Entity Type
- Organization
- Organization Name
- Southeast Regional Virtual Imaging Consulting Enterprise PA
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Dec 21, 2007
Practice Location
- Address
- 225 STABLE GATE DR
- City
- Campobello
- State
- South Carolina
- ZIP Code
- 29322-8037
- Phone
- (864) 468-5570
Authorized Official
- Name
- DR. STEPHEN JACOB GORDIN, M.D.
- Title
- PRESIDENT
- Phone
- (864) 468-5238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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