Provider profile

Individual

Richard B. Ellison

Radiology in Jackson, MS. NPI 1699781948, listed in the CMS NPI Registry since 07/31/2006. Bills Medicare.

NPI 1699781948Specialty RadiologyEnumerated 07/31/2006
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Registry and Medicare facts

Practice location
969 Lakeland Dr, Jackson, MS 39216
CMS NPI Registry
Phone
(877) 406-2916
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/31/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,142 Part B
CMS Medicare 2024

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