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Organization
NORTH SUNFLOWER MEDICAL CENTER
Active
Organization
NORTH SUNFLOWER MEDICAL CENTER
Active
Other names
NSMC Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DANIEL CEJA (CEO)
(662) 756-2711
Entity
Organization
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-2711
(662) 756-4114
Mailing address
PO BOX 369, RULEVILLE, MS 38771-0369
(662) 756-2711
(662) 756-4114
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
11-168
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013431
—
MS
Enumeration date
05/25/2007
Last updated
06/08/2020
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