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Organization

BLUEWATER IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD B CLINTON M.D. (OWNER)
(843) 640-1185
Entity
Organization

Contact information

Practice address
1101 TROLLEY RD, 200, SUMMERVILLE, SC 29485-5293
(843) 407-0551
(888) 434-2583
Mailing address
1101 TROLLEY RD, 200, SUMMERVILLE, SC 29485-5293
(843) 407-0551
(888) 434-2583

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
09/18/2012
Last updated
07/30/2013
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