Radiology Clinic
NPI #1114174539 in Columbus, Mississippi
Provider Information
- NPI Number
- 1114174539
- Entity Type
- Organization
- Organization Name
- Radiology Clinic
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Aug 27, 2008
Practice Location
- Address
- 2400 FIFTH STREET NORTH
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2000
- Phone
- (662) 328-8404
Authorized Official
- Name
- BILLY L SULLIVAN, M.D.
- Title
- OWNER
- Phone
- (662) 328-8404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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