Central Ms Imaging LLC DBA Southern Diagnostic Imaging
NPI #1568558385 in Flowood, Mississippi
Provider Information
- NPI Number
- 1568558385
- Entity Type
- Organization
- Organization Name
- Central Ms Imaging LLC DBA Southern Diagnostic Imaging
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Feb 27, 2023
Practice Location
- Address
- 1037 N FLOWOOD DR
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9533
- Phone
- (601) 936-0302
Authorized Official
- Name
- DANIELLE STUART
- Title
- CREDENTIALING REPRESENTATIVE 2
- Phone
- (601) 200-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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