Organization
GOLDEN TRIANGLE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE F NAQUIN C.F.N.P. (NURSE PRACTITIONER)
(662) 328-2476
Entity
Organization
Contact information
Practice address
2003 OLD ABERDEEN RD, COLUMBUS, MS 39705-1913
(662) 328-2476
(662) 327-4605
Mailing address
2003 OLD ABERDEEN RD, COLUMBUS, MS 39705-1913
(662) 328-2476
(662) 327-4605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R590029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05283076
—
MS
Enumeration date
12/19/2006
Last updated
03/12/2008
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