Organization
MADISON RADIOLOGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY SMITH (OFFICE MANAGER)
(601) 354-4327
Entity
Organization
Contact information
Practice address
401 BAPTIST DRIVE, SUITE 105, MADISON, MS 39110
(601) 354-4327
Mailing address
401 BAPTIST DRIVE, SUITE 105, MADISON, MS 39110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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