MODERN VASCULAR OF SOUTHAVEN, LLC
Organization (NPI-2)
Active
Radiology, Vascular & Interventional Radiology
Provider Information
- NPI Number
1174171441- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 55 PHYSICIANS LN, SOUTHAVEN, MS, 386719569
- Phone
- (662) 655-2136
- Fax
- (662) 996-2214
Specialties & Taxonomies
Radiologic Technologist, Vascular-Interventional Technology
Radiology, Vascular & Interventional Radiology
Primary