Organization
GULFPORT 49 IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE ALI DO (OWNER)
(228) 223-1927
Entity
Organization
Contact information
Practice address
10556 HIGHWAY 49, GULFPORT, MS 39503-4109
(228) 223-1927
(228) 539-2399
Mailing address
PO BOX 1248, OCEAN SPRINGS, MS 39566-1248
(228) 223-1927
(228) 539-2377
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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