Organization
KELLY IMAGING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON GARDNER (CO-FOUNDER, VICE PRESIDENT)
(864) 248-4080
Entity
Organization
Contact information
Practice address
112 COSGROVE LN, TAYLORS, SC 29687-4106
(864) 248-4080
Mailing address
PO BOX 26565, GREENVILLE, SC 29616-1565
(864) 248-4080
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
46001
OH
Other
Enumeration date
04/28/2011
Last updated
07/04/2011
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