Associated Radiologists PA
Radiology, Diagnostic Radiology in Brookhaven, MS. Organization (NPI-2).
NPI number1790774263
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790774263
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Radiologists PA
- Organization subpart
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
108 Lance Alworth DrBrookhaven, MS 39601-2300
Phone 601-833-6011 · Fax 601-835-5413
Mailing address
Po Box 764Brookhaven, MS 39602-0764
Phone 601-833-6011 · Fax 601-835-5413
Authorized official
Saundra Rena Shannon
Office Manager
6018355411
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