Individual
MR. MICHAEL SHANE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R))CT)(MR)
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
412 ROCKY POINT RD, CARTHAGE, MS 39051-8033
(601) 940-8624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MRT-2012
MS
247100000X
Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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