Miss-Lou Ct Center, LLC
NPI #1902004997 in Natchez, Mississippi
Provider Information
- NPI Number
- 1902004997
- Entity Type
- Organization
- Organization Name
- Miss-Lou Ct Center, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Jul 17, 2007
Practice Location
- Address
- 140 JEFF DAVIS BLVD
- Address 2
- SUITE B
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-5104
- Phone
- (601) 304-9718
Authorized Official
- Name
- DR. VIKRAMADITYA DULAM, M.D.
- Title
- MEMBER/MANAGER
- Phone
- (601) 304-9718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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