Individual
KATHERINE LEIGH RAGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT. OF RADIOLOGY, JACKSON, MS 39216-4500
(601) 984-2538
Mailing address
2500 N STATE ST, DEPT. OF RADIOLOGY, JACKSON, MS 39216-4500
(601) 984-2538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23147
MS
2085R0202X
Diagnostic Radiology Physician
T-2476
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03152342
—
MS
01
—
P01702545
RR MEDICARE PTAN
MS
Enumeration date
07/06/2011
Last updated
10/04/2016
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