Organization
MISSISSIPPI MEDICAL IMAGING GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPH ALEXANDER BERGMANN MD, PHD (SOLE MEMBER)
(662) 840-1708
Entity
Organization
Contact information
Practice address
4934 PECAN DR, BELDEN, MS 38826-8715
(662) 840-1708
Mailing address
4934 PECAN DR, BELDEN, MS 38826-8715
(662) 840-1708
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16289
MS
Other
Enumeration date
11/23/2013
Last updated
11/24/2013
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