Jackson Radiology Assoc, PA
NPI #1043341902 in Jackson, Mississippi
Provider Information
- NPI Number
- 1043341902
- Entity Type
- Organization
- Organization Name
- Jackson Radiology Assoc, PA
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Mar 9, 2007
- Last Updated
- May 20, 2008
Practice Location
- Address
- 1860 CHADWICK DR
- Address 2
- STE 204
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-3463
- Phone
- (601) 373-6441
Authorized Official
- Name
- MRS. AMY C STILL
- Title
- OFFICE MANAGER
- Phone
- (601) 373-6441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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