Organization
BRENDAN M. MILES
Active
Other names
Radiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN MATHEW MILES M.D. (RADIOLOGIST/OWNER)
(662) 256-5807
Entity
Organization
Contact information
Practice address
411B MAIN ST S, AMORY, MS 38821-4221
(662) 256-5807
(662) 256-3729
Mailing address
411B MAIN ST S, AMORY, MS 38821-4221
(662) 256-5807
(662) 256-3729
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
08217
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013573
—
MS
05
—
009941165
—
AL
Enumeration date
04/23/2008
Last updated
04/23/2008
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