PHIL OTIS NELSON

JACKSON, MS
NPI1063890754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MS  04082)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
Dr. PHIL OTIS NELSON M.D.
146 RIDGE DR
JACKSON, MS 39216-4109
Phone number: 601-982-5793
Mailing Address
Dr. PHIL OTIS NELSON M.D.
146 RIDGE DR
JACKSON, MS 39216-4109
Phone number: 601-982-5793
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