Organization
MEDFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI MCNICHOLS (BUSINESS DEVELOPMENT CONSULTANT)
(601) 479-5972
Entity
Organization
Contact information
Practice address
2 OLD RIVER PL, SUITE C, JACKSON, MS 39202-3435
(601) 479-5972
Mailing address
2 OLD RIVER PLACE, SUITE C, JACKSON, MS 39202
(601) 479-5972
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MS
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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