| NPI | 1962682468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STACY THAGGARD President 601-693-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2015-06-29 |