Golden Triangle Radiology

NPI 1477617272 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1477617272
Enumeration Date 12/19/2006
Last Updated 03/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALICE F ALICE
Position NURSE PRACTITIONER
Phone (662) 328-2476
Fax (662) 327-4605
Practice Location
2003 OLD ABERDEEN RD
COLUMBUS MS, 39705-1913, US
Phone (662) 328-2476
Fax (662) 327-4605
Business Location
2003 OLD ABERDEEN RD
COLUMBUS MS, 39705-1913, US
Phone (662) 328-2476
Fax (662) 327-4605
Toxanomy
Taxonomy Code 363L00000X
License State Mississippi
License Number R590029
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According to our database, Golden Triangle Radiology NPI is 1477617272, taxonomy code is 363L00000X and license number is R590029, license state is located at Mississippi. Golden Triangle Radiology physically located at 2003 Old Aberdeen Rd, Columbus MS, 39705-1913. NPI Number 1033115704 has the healthcare provider type.

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1477617272 NPI number is provided on an as is basis without warranty of any kind. 1477617272 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Triangle Radiology are for informational purposes only.