Provider profile

Individual

Edward Green

Radiology in Jackson, MS. NPI 1073719803, listed in the CMS NPI Registry since 06/27/2007. Bills Medicare.

NPI 1073719803Specialty RadiologyEnumerated 06/27/2007
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Registry and Medicare facts

Practice location
969 Lakeland Dr, Jackson, MS 39216
CMS NPI Registry
Phone
(601) 200-6162
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/27/2007
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,881 Part B
CMS Medicare 2024

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