institution
George Regional Radiology
Specialist in Lucedale, Mississippi
NPI 1174775589

George Regional Radiology is a Specialist based in Lucedale, MS. George Regional Radiology practices in Lucedale, MS. The NPI Number for George Regional Radiology is 1174775589 and holds a License No. 19622 (Mississippi).

The current practice location address for George Regional Radiology is 92 Ratliff St, Lucedale, MS and can be reached out via phone at 601-947-8181.

Location: 92 Ratliff St, Lucedale, MS, 39452
institution
Provider Profile Details
NPI Number
1174775589
Provider Name
George Regional Radiology
Credential
Provider Entity Type
Organization
Address
92 Ratliff St, Lucedale, MS, 39452
Phone Number
601-947-8181
Fax Number
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00684671 01 MS PALMETTO GBA MCARE
512G700430 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
92 Ratliff St
City
State
Zip
39452-6537
Phone Number
601-947-8181
Fax Number
person
Provider Business Mailing Address Details
Address
92 Ratliff St
City
State
Zip
39452-6537
Phone Number
601-947-8181
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
19622 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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