Organization
SOUTH CAROLINA MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN EDWARD EVERHART (OWNER)
(717) 991-0055
Entity
Organization
Contact information
Practice address
13 RED SQUIRREL LN, PAWLEYS ISLAND, SC 29585-5239
(717) 991-0055
Mailing address
13 RED SQUIRREL LN, PAWLEYS ISLAND, SC 29585-5239
(717) 991-0055
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
SC
Other
Enumeration date
10/14/2015
Last updated
11/05/2015
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