# SMALL WONDERS IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568536050
- **Authorized official:** HOLLY RACQUEL POE ARDMS, RVT (MANAGING PARTNER)
- **Authorized official phone:** (843) 817-6345

## Contact information

- **Practice address:** 308 S PINE ST, SUMMERVILLE, SC 29483-6048
- **Practice address phone:** (843) 817-6345
- **Mailing address:** 308 S PINE ST, SUMMERVILLE, SC 29483-6048
- **Mailing address phone:** (843) 817-6345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471V0105X | Vascular Sonography Radiologic Technologist | 79275 | SC | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020