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Organization

NORTH SUNFLOWER MEDICAL CENTER

Active
Other names
NSMC Radiologists
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE DANIEL CEJA (CEO)
(662) 756-2711
Entity
Organization

Contact information

Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-2711
(662) 756-4114
Mailing address
PO BOX 369, RULEVILLE, MS 38771-0369
(662) 756-2711
(662) 756-4114

Taxonomy

Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
11-168
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09013431
MS
Enumeration date
05/25/2007
Last updated
06/08/2020
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