Organization
MERIDIAN RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A RAY III M.D. (TREASURER)
(601) 693-5862
Entity
Organization
Contact information
Practice address
1203 24TH AVE, MERIDIAN, MS 39301-3926
(601) 693-5862
(601) 693-9314
Mailing address
1203 24TH AVE, MERIDIAN, MS 39301-3926
(601) 693-5862
(601) 693-9314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013747
—
MS
Enumeration date
09/21/2006
Last updated
08/22/2020
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