Twincity Medical Mobile Diagnostics

NPI #1336529197 in Winston Salem, North Carolina

Provider Information

NPI Number: 1336529197
Entity Type: Organization
Organization Name: Twincity Medical Mobile Diagnostics
Primary Specialty: Specialist
Enumeration Date: Jun 5, 2015
Last Updated: Sep 12, 2018

Practice Location

Address: 163 STRATFORD CT
City: Winston Salem
State: North Carolina
ZIP Code: 27103
Phone: (336) 816-6800

Authorized Official

Name: MR. RICHARD O. CORNWALL, PA-C
Title: PRESIDENT
Phone: (336) 816-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mobile — Radiology, Mobile	261QR0208X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X
Specialist	174400000X	Primary

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