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1811359904
DURHAM NORTH
JACKSON, MS
NPI
1811359904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS 29683)
Enumeration Date
2016-03-28
Last Update Date
2022-10-06
Business Address
DURHAM NORTH M.D.
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-6162
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Mailing Address
DURHAM NORTH M.D.
PO BOX 23073
JACKSON, MS 39225-3073
Phone number: 601-200-6162
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