Southeast Regional Virtual Imaging Consulting Enterprise PA
Southeast Regional Virtual Imaging Consulting Enterprise PA is a Diagnostic Radiology Physician in Campobello, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.
- Licensed in
- SC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
225 Stable Gate DrCampobello, SC 29322-8037
Phone: (864) 468-5570
Fax: (864) 468-5239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 16566 (SC) |
|---|
Record details
| NPI number | 1205844586 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Gordin — President · (864) 468-5238 |
| NPI enumerated | August 3, 2006 |
| Last updated in NPPES | December 21, 2007 |
| Mailing address | Po Box 52990, Greenwood, SC 29649-0048 |
Other providers in Campobello
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Stephen Jacob Gordin, MD
225 Stable Gate Dr, Campobello, SC 29322-8037 · (864) 468-5570