Organization
IMAGING ASSOCIATES OF NORTH MISSISSIPPI MAGNOLIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL CURRIE M.D. (MANAGING MEMBER)
(662) 821-1831
Entity
Organization
Contact information
Practice address
611 ALCORN DR, RADIOLOGY DEPT., CORINTH, MS 38834-9368
(662) 293-1475
Mailing address
499 GLOSTER CREEK VLG, SUITE J-7, TUPELO, MS 38801-4600
(662) 821-1831
(662) 821-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016126
—
MS
01
—
349213300
DEPT OF LABOR PROVIDER #
—
01
—
CK5124
MEDICARE RAILROAD
—
Enumeration date
05/10/2006
Last updated
03/12/2012
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