Organization
COMPREHENSIVE RADIOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CUNNINGHAM MD (ADMINISTRATOR)
(601) 450-0521
Entity
Organization
Contact information
Practice address
5000 W 4TH ST, HATTIESBURG, MS 39402
(601) 450-0521
(601) 450-0554
Mailing address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(601) 450-0521
(601) 450-0554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010984
—
MS
01
—
CC9947
RR MEDICARE
MS
Enumeration date
06/24/2006
Last updated
07/25/2018
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