Organization
RADIOLOGY ASSOC OF CAROLINAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNINGS G PRESSLY MD (OWNER)
(864) 228-2303
Entity
Organization
Contact information
Practice address
110B HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 228-0355
(864) 228-4827
Mailing address
PO BOX 669, SIMPSONVILLE, SC 29681-0669
(864) 228-2303
(864) 228-3662
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
19641
NC
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
7489
SC
207UN0902X
Nuclear Imaging & Therapy Physician
19641
NC
207UN0902X
Nuclear Imaging & Therapy Physician
7489
SC
2085N0904X
Nuclear Radiology Physician
19641
NC
2085N0904X
Nuclear Radiology Physician
7489
SC
2085P0229X
Pediatric Radiology Physician
19641
NC
2085P0229X
Pediatric Radiology Physician
7489
SC
2085R0202X
Diagnostic Radiology Physician
Primary
19641
NC
2085R0202X
Diagnostic Radiology Physician
7489
SC
2085R0203X
Therapeutic Radiology Physician
19641
NC
2085R0203X
Therapeutic Radiology Physician
7489
SC
2085R0204X
Vascular & Interventional Radiology Physician
7489
SC
2085U0001X
Diagnostic Ultrasound Physician
19641
NC
2085U0001X
Diagnostic Ultrasound Physician
7489
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074895
—
SC
01
—
13374
BCBS
NC
05
—
8913374
—
NC
Enumeration date
08/21/2006
Last updated
07/29/2010
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