Gulfport 49 Imaging, LLC
NPI #1134702301 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1134702301
- Entity Type
- Organization
- Organization Name
- Gulfport 49 Imaging, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 4, 2021
- Last Updated
- May 4, 2021
Practice Location
- Address
- 10556 HIGHWAY 49
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-4109
- Phone
- (228) 223-1927
Authorized Official
- Name
- RONNIE ALI, DO
- Title
- OWNER
- Phone
- (228) 223-1927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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