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1841679636
COREY WAYNE SIVILS
JACKSON, MS
NPI
1841679636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS 28818)
Enumeration Date
2015-05-26
Last Update Date
2021-09-15
Business Address
COREY WAYNE SIVILS M.D.
2500 N STATE ST DEPARTMENT OF MEDICINE
JACKSON, MS 39216-4500
Phone number: 601-984-5601
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Mailing Address
COREY WAYNE SIVILS M.D.
2500 N STATE ST DEPARTMENT OF MEDICINE
JACKSON, MS 39216-4500
Phone number: 601-984-5601
Copy
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