Organization
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Active
Other names
GREENSBORO IMAGING AT KERNERSVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN S WILSON (AVP REGIONAL OPERATIONS)
(336) 540-4322
Entity
Organization
Contact information
Practice address
1635 HWY 66 SOUTH, SUITE 110, KERNERSVILLE, NC 27284-3705
(336) 993-5328
(336) 993-8957
Mailing address
1317 N ELM STREET, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950051
—
NC
Enumeration date
01/14/2008
Last updated
04/30/2021
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