Organization
JACKSON IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE R AMACKER (MANAGER)
(601) 936-0302
Entity
Organization
Contact information
Practice address
1045 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 936-0302
(601) 936-3416
Mailing address
1045 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 936-0302
(601) 936-3416
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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