Organization
PARADOX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN INGRAM M.D. (PRESIDENT)
(866) 546-6643
Entity
Organization
Contact information
Practice address
107 E SHANKLAND AVE, JENNINGS, LA 70546-4709
(866) 546-6643
(337) 824-8726
Mailing address
107 E SHANKLAND AVE, JENNINGS, LA 70546-4709
(866) 546-6643
(337) 824-8726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201213
LA
Other
Enumeration date
02/26/2007
Last updated
11/12/2009
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