| NPI | 1154505659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE S CHRISTIAN Owner 601-956-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 06391) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |