Organization
SMALL WONDERS IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY RACQUEL POE ARDMS, RVT (MANAGING PARTNER)
(843) 817-6345
Entity
Organization
Contact information
Practice address
308 S PINE ST, SUMMERVILLE, SC 29483-6048
(843) 817-6345
Mailing address
308 S PINE ST, SUMMERVILLE, SC 29483-6048
(843) 817-6345
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
79275
SC
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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