Organization
PRIOR RADIOLOGY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD S PRIOR MD (OWNER)
(662) 334-9829
Entity
Organization
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 334-9829
(662) 334-3529
Mailing address
136 FIORANELLI DR, GREENVILLE, MS 38701-7313
(662) 334-9829
(662) 334-3529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14756
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100733
—
MS
01
—
184441304H
BLUE CROSS MS
MS
01
—
DA8940
RAILROAD MEDICARE
MS
Enumeration date
05/23/2007
Last updated
12/08/2011
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