Organization
KELLY ULTRASOUND CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK DEARMAN (OWNER)
(864) 234-1234
Entity
Organization
Contact information
Practice address
140 MILESTONE WAY, STE. B, GREENVILLE, SC 29615-5065
(864) 234-1234
Mailing address
140 MILESTONE WAY, STE. B, GREENVILLE, SC 29615-5065
(864) 234-1234
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
46001
OH
Other
Enumeration date
07/07/2011
Last updated
06/10/2016
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