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Organization

PREMIER RADIOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY CARLTON HOWARD MD (PRESIDENT)
(662) 620-7102
Entity
Organization

Contact information

Practice address
620 CROSSOVER ROAD, TUPELO, MS 38801
(662) 620-7101
Mailing address
620 CROSSOVER RD, TUPELO, MS 38801-4944
(662) 842-1758
(662) 844-8298

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2954
MEDICARE
AL
05
529700060
AL
05
9011191
MS
01
CE6077
RAILROAD MEDICARE
MS
Enumeration date
05/24/2006
Last updated
06/23/2020
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