JEREMY K SMALLWOOD

OCEAN SPRINGS, MS
NPI1124253521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy243U00000X Radiology Practitioner Assistant
Additional Taxonomies2471V0106X Radiologic Technologist, Vascular-Interventional Technology
Enumeration Date2009-05-28
Last Update Date2009-05-28
Business Address
Mr. JEREMY K SMALLWOOD RPA/RA, RT(R)(VI)
3109 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564-4361
Phone number: 228-818-1117
Mailing Address
Mr. JEREMY K SMALLWOOD RPA/RA, RT(R)(VI)
3109 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564-4361
Phone number: 228-818-1117