Organization
SINGING RIVER RADIOLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUJEAN TRUMBLE (BUSINESS MANAGER)
(228) 762-1353
Entity
Organization
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 762-1353
Mailing address
1365 MARKET ST, PASCAGOULA, MS 39567-6604
(228) 762-1353
(228) 762-1359
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020543
—
AL
05
—
09014278
—
MS
Enumeration date
07/16/2006
Last updated
06/22/2017
Update your record
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