Provider First Line Business Practice Location Address: 
2600 6TH ST SW
    Provider Second Line Business Practice Location Address: 
RADIOLOGY ASSOCIATES OF CANTON, INC
    Provider Business Practice Location Address City Name: 
CANTON
    Provider Business Practice Location Address State Name: 
OH
    Provider Business Practice Location Address Postal Code: 
44710-1702
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
330-363-2842
    Provider Business Practice Location Address Fax Number: 
330-580-5536
    Provider Enumeration Date: 
11/02/2005