Organization
IMAGECARE RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BRANTLEY (ADMINISTRATIVE DIRECTOR)
(803) 462-3680
Entity
Organization
Contact information
Practice address
710 RABON RD STE 100, COLUMBIA, SC 29203-8903
(803) 462-3680
(803) 462-3690
Mailing address
710 RABON RD STE 100, COLUMBIA, SC 29203-8903
(803) 462-3680
(803) 462-3690
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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