Southeast Regional Virtual Imaging Consulting Enterprise PA
Southeast Regional Virtual Imaging Consulting Enterprise PA provides Diagnostic Radiology Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (864) 468-5570
Fax: (864) 468-5239
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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