Organization
RADIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA G WAYSTACK (CEO)
(803) 534-0053
Entity
Organization
Contact information
Practice address
1728 VILLAGE PARK DR, ORANGEBURG, SC 29118-2426
(803) 534-0053
(803) 534-0291
Mailing address
PO BOX 468, ORANGEBURG, SC 29116-0468
(803) 534-0053
(803) 534-0291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB3361
RAILROAD MCARE
GA
Enumeration date
11/16/2006
Last updated
11/08/2010
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