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Organization

SONOGRAM SPECIALIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA JILL HONNOLL (OWNER / MEMBER)
(662) 588-8616
Entity
Organization

Contact information

Practice address
520 HILLCREST CIR, CLEVELAND, MS 38732-2030
(901) 270-0898
Mailing address
PO BOX 4084, CLEVELAND, MS 38732-5184
(662) 588-8616

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary

Other

Enumeration date
03/26/2021
Last updated
03/09/2022
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