Madison Radiological Group LLC

NPI #1083762140 in Madison, Mississippi

Provider Information

NPI Number: 1083762140
Entity Type: Organization
Organization Name: Madison Radiological Group LLC
Primary Specialty: Specialist
Enumeration Date: Jan 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 401 BAPTIST DRIVE
Address 2: SUITE 105
City: Madison
State: Mississippi
ZIP Code: 39110
Phone: (601) 354-4327

Authorized Official

Name: DANNY SMITH
Title: OFFICE MANAGER
Phone: (601) 354-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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