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Dr. Richard B. Ellison JR., MD
Diagnostic Radiology Physician in Jackson, Mississippi
NPI 1699781948

Richard B. Ellison JR. is a Diagnostic Radiology Physician based in Jackson, MS and is specialized in Diagnostic Radiology. Richard B. Ellison JR. practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Richard B. Ellison JR. is 1699781948 and holds a License No. 12108 (Mississippi).

The current practice location address for Richard B. Ellison JR. is 969 Lakeland Dr, Jackson, MS and can be reached out via phone at 877-406-2916 and via fax at 601-982-7909.

Location: 969 Lakeland Dr, Jackson, MS, 39296-5769
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Provider Profile Details
NPI Number
1699781948
Provider Name
Richard B. Ellison JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
969 Lakeland Dr, Jackson, MS, 39296-5769
Phone Number
877-406-2916
Fax Number
601-982-7909
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00113408 05 MS
1861428351 01 GROUP NPI
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
877-406-2916
Fax Number
601-982-7909
person
Provider Business Mailing Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
877-406-2916
Fax Number
601-982-7909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
12108 (Mississippi)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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