Organization
CENTRAL MISSISSIPPI RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KO (RADIOLOGIST)
(662) 455-9595
Entity
Organization
Contact information
Practice address
1803 STRONG AVE, GREENWOOD, MS 38930-3913
(662) 455-9595
Mailing address
PO BOX 10117, GREENWOOD, MS 38930-0117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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