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Individual

DR. DONALD S PRIOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1654 S COLORADO ST, GREENVILLE, MS 38703-7216
(662) 332-9872
(662) 335-3429
Mailing address
627 WILDWOOD DR, GREENVILLE, MS 38701-6980
(662) 332-2487
(662) 334-3529

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14756
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125077
MS
01
1527998
LOUISIANA MEDICAID
LA
Enumeration date
08/31/2006
Last updated
07/08/2007
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