Organization
GRENADA DIAGNOSTIC RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH C ARMSTRONG M.D. (ADMINISTRATOR)
(662) 226-9279
Entity
Organization
Contact information
Practice address
1300 SUNSET DR, SUITE U, GRENADA, MS 38901-4086
(662) 226-9279
(662) 226-9779
Mailing address
1300 SUNSET DR, SUITE U, GRENADA, MS 38901-4086
(662) 226-9279
(662) 226-9779
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
222008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125988
—
MS
Enumeration date
03/28/2006
Last updated
12/23/2009
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