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Organization
NORTHERN MISSISSIPPI VASCULAR ACCESS CENTER
Active
Organization
NORTHERN MISSISSIPPI VASCULAR ACCESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER REED (ADMINISTRATOR)
(662) 335-4105
Entity
Organization
Contact information
Practice address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 335-4105
Mailing address
PO BOX 2120, RIDGELAND, MS 39158-2120
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/16/2023
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