Organization
FLOWOOD MISSISSIPPI IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
103 RIVER OAKS CT, FLOWOOD, MS 39232-9755
(601) 932-3722
(601) 932-3758
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7361
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
07/28/2022
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