Organization
MADISON RADIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A OLIVER M.D. (PRESIDENT)
(601) 855-4000
Entity
Organization
Contact information
Practice address
161 RIVER OAKS DR, CANTON, MS 39046-5375
(601) 855-4000
(601) 855-4330
Mailing address
PO BOX 4767, JACKSON, MS 39296-4767
(601) 982-7878
(601) 982-7909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08103711
—
MS
Enumeration date
01/17/2007
Last updated
08/29/2011
Update your record
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