Organization
ADVANCED CARDIOLOGY IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WILLIAMSON (OWNER)
(910) 536-3535
Entity
Organization
Contact information
Practice address
111 W MAIN ST, LATTA, SC 29565-1505
(910) 536-3535
Mailing address
404 SANDFIDDLER CT, MOREHEAD CITY, NC 28557-2530
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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