Organization
SOUTH SHORE RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNA RAGULA (PRESIDENT)
(228) 594-3601
Entity
Organization
Contact information
Practice address
150 REYNOIR ST, BILOXI, MS 39530-4130
(228) 374-7288
Mailing address
PO BOX 1348, BILOXI, MS 39533-1348
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16577
MS
Other
Enumeration date
03/29/2007
Last updated
07/10/2007
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