Organization
MEDICAL IMAGING OF GRENADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR BARTLETT BRISTOW DO (OWNER)
(601) 227-7082
Entity
Organization
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901
(601) 227-7082
(601) 227-7088
Mailing address
PO BOX 16745, HATTIESBURG, MS 39404-6745
(601) 227-7082
(601) 227-7088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
09/25/2008
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