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Modern Vascular Of Southaven, Llc
Vascular-Interventional Technology Radiologic Technologist in Southaven, Mississippi
NPI 1174171441

Modern Vascular Of Southaven, Llc is a Vascular-Interventional Technology Radiologic Technologist based in Calabasas, MS and is specialized in Vascular-Interventional Technology. Modern Vascular Of Southaven, Llc practices in Southaven, MS. The NPI Number for Modern Vascular Of Southaven, Llc is 1174171441 and holds a License No. (Mississippi).

The current practice location address for Modern Vascular Of Southaven, Llc is 55 Physicians Ln, Southaven, MS and can be reached out via phone at 662-655-2136 and via fax at 662-996-2214.

Location: 55 Physicians Ln, Southaven, MS, 91302-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174171441
Provider Name
Modern Vascular Of Southaven, Llc
Credential
Provider Entity Type
Organization
Address
55 Physicians Ln, Southaven, MS, 91302-3556
Phone Number
662-655-2136
Fax Number
662-996-2214
Provider Enumeration Date
08/29/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
55 Physicians Ln
City
Southaven
State
Mississippi
Zip
38671-9569
Phone Number
662-655-2136
Fax Number
662-996-2214
person
Provider Business Mailing Address Details
Address
55 Physicians Ln
City
Southaven
State
Mississippi
Zip
38671-9569
Phone Number
662-655-2136
Fax Number
662-996-2214
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Vascular-Interventional Technology
Taxonomy
2471V0106X
License No.
()
Definition
Definition to come.
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