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Organization
IMAGING CENTER AT BAXTER VILLAGE, L.L.C.
Active
Organization
IMAGING CENTER AT BAXTER VILLAGE, L.L.C.
Active
Other names
The Imaging Center at Baxter Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
509 6TH BAXTER CROSSING, FORT MILL, SC 29708
(803) 329-6829
Mailing address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6829
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
07/08/2008
Last updated
07/28/2016
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