Organization
UPPER SAVANNAH RADIOLOGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COLBY (PRESIDENT)
(864) 889-9609
Entity
Organization
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 889-9609
Mailing address
1156 EDGEFIELD ST, GREENWOOD, SC 29646-3845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2210
—
SC
Enumeration date
10/09/2006
Last updated
02/04/2008
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