Organization
SOUTHERN MRI LLC
Active
Other names
Medical Billing Office
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JENKINS (MANAGER)
(843) 815-4600
Entity
Organization
Contact information
Practice address
49 PENNINGTON DR, BLUFFTON, SC 29910-6036
(843) 815-4600
Mailing address
PO BOX 8007, HILTON HEAD ISLAND, SC 29938-8007
(843) 815-4600
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0024
—
SC
Enumeration date
05/24/2006
Last updated
11/28/2007
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