Organization
REGIONAL MEDICAL SUPPORT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED A SMITH (EXECUTIVE OFFICER)
(601) 485-2485
Entity
Organization
Contact information
Practice address
2115 13TH ST, MERIDIAN, MS 39301-4045
(601) 485-2485
(601) 483-8851
Mailing address
PO BOX 5107, MERIDIAN, MS 39302-5107
(601) 485-2485
(601) 483-8851
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118911
—
MS
Enumeration date
05/31/2006
Last updated
10/19/2010
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