Healthcare Provider Details

I. General information

NPI: 1386696524
Provider Name (Legal Business Name): MRI INTERPRETATIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND SC
29926-2738
US

IV. Provider business mailing address

PO BOX 190
BLUFFTON SC
29910-0190
US

V. Phone/Fax

Practice location:
  • Phone: 843-681-6122
  • Fax:
Mailing address:
  • Phone: 843-815-6411
  • Fax: 843-815-6416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WESLEY REX HOLLAND
Title or Position: PRESIDENT
Credential: MD
Phone: 843-815-6411