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 | 207U00000X | Nuclear Medicine | | 20940 | SOUTH CAROLINA | No |
| 2 | 2085B0100X | Radiology | Body Imaging | 20940 | SOUTH CAROLINA | No |
| 3 | 2085D0003X | Radiology | Diagnostic Neuroimaging | 20940 | SOUTH CAROLINA | No |
| 4 | 2085N0904X | Radiology | Nuclear Radiology | 20940 | SOUTH CAROLINA | No |
| 5 | 2085P0229X | Radiology | Pediatric Radiology | 20940 | SOUTH CAROLINA | No |
| 6 | 2085R0001X | Radiology | Radiation Oncology | 20940 | SOUTH CAROLINA | No |
| 7 | 2085R0203X | Radiology | Therapeutic Radiology | 20940 | SOUTH CAROLINA | No |
| 8 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 20940 | SOUTH CAROLINA | No |
| 9 | 2085R0205X | Radiology | Radiological Physics | 20940 | SOUTH CAROLINA | No |
| 10 | 2085U0001X | Radiology | Diagnostic Ultrasound | 20940 | SOUTH CAROLINA | No |
| 11 | 2085N0700X | Radiology | Neuroradiology | 20940 | SOUTH CAROLINA | No |
| 12 | 2085R0202X | Radiology | Diagnostic Radiology | 20940 | SOUTH CAROLINA | Yes |