Individual
ALYSON S CARRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1779
(601) 815-0444
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4300, CLINTON, MS 39056-4500
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30466
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
10/05/2023
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