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Southeast Regional Virtual Imaging Consulting Enterprise Pa

Southeast Regional Virtual Imaging Consulting Enterprise Pa is a health care provider in Greenwood, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 225 Stable Gate Dr, Campobello, SC 29322-8037, US
Practice Location Phone864-468-5570
Practice Location Fax864-468-5239
Legal Business NameSOUTHEAST REGIONAL VIRTUAL IMAGING CONSULTING ENTERPRISE PA
NPI ?1205844586
Entity TypeOrganization
Enumeration Date ? Aug 3, 2006
Last Update Date ? Dec 21, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southeast Regional Virtual Imaging Consulting Enterprise Pa

SpecialtySpecializationLicenseLicense State
RadiologyDiagnostic Radiology 16566South Carolina

legacy-id-icon Legacy Provider IDs of Southeast Regional Virtual Imaging Consulting Enterprise Pa

Provider IdIssuer StateIssuer TypeIssuer
GP4506South CarolinaMedicaid

official-icon Authorized Official of Southeast Regional Virtual Imaging Consulting Enterprise Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southeast Regional Virtual Imaging Consulting Enterprise Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Stephen Jacob Gordin (M.D.)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number864-468-5238