JACKSON RADIOLOGY ASSOC PA NPI 1043341902

NPI Information

JACKSON RADIOLOGY ASSOC, PA is a diagnostic radiology radiology in Jackson, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JACKSON RADIOLOGY ASSOC, PA NPI is 1043341902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1860 CHADWICK DR
STE 204
JACKSON, MS
ZIP 39204-463
Phone: (601) 373-6441
Fax: (601) 373-5715

The provider's authorized official is Amy C Still .
The authorized official title is Office Manager and has the following contact phone number (601) 373-6441.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 5/20/2008.

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:

Other Identifiers

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