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Organization

FLORENCE MRI DIAGNOSTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BECKY HARRISON (BILLING MANAGER)
(256) 764-2910
Entity
Organization

Contact information

Practice address
552 W ALABAMA ST, FLORENCE, AL 35630-6005
(256) 764-2910
(256) 764-2910
Mailing address
552 W ALABAMA ST, FLORENCE, AL 35630-6005
(256) 764-2910
(256) 764-2910

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10842
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51081787
BC PROVIDER NUMBER
AL
01
51081788
BC PROVIDER NUMBER
AL
01
51507877
BC PROVIDER NUMBER
AL
01
51519609
BC PROVICER NUMBER
AL
Enumeration date
06/02/2005
Last updated
10/17/2007
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