Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2085B0100X | Radiology | Body Imaging | 18093 | SOUTH CAROLINA | No |
| 2 | 2085N0904X | Radiology | Nuclear Radiology | 9700737 | NORTH CAROLINA | No |
| 3 | 2085N0904X | Radiology | Nuclear Radiology | 18093 | SOUTH CAROLINA | No |
| 4 | 2085P0229X | Radiology | Pediatric Radiology | 18093 | SOUTH CAROLINA | No |
| 5 | 2085R0202X | Radiology | Diagnostic Radiology | 18093 | SOUTH CAROLINA | Yes |
| 6 | 2085R0202X | Radiology | Diagnostic Radiology | 9700737 | NORTH CAROLINA | No |
| 7 | 2085R0203X | Radiology | Therapeutic Radiology | 18093 | SOUTH CAROLINA | No |
| 8 | 2085R0203X | Radiology | Therapeutic Radiology | 9700737 | NORTH CAROLINA | No |
| 9 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 18093 | SOUTH CAROLINA | No |
| 10 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 9700737 | NORTH CAROLINA | No |
| 11 | 2085U0001X | Radiology | Diagnostic Ultrasound | 18093 | SOUTH CAROLINA | No |
| 12 | 2085U0001X | Radiology | Diagnostic Ultrasound | 9700737 | NORTH CAROLINA | No |
| 13 | 2085H0002X | Radiology | Hospice and Palliative Medicine | 18093 | SOUTH CAROLINA | No |