Kathleen H Hardin, MS | |
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
(601) 883-6832 | |
Not Available |
Full Name | Kathleen H Hardin |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 2100 Highway 61 N, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740360056 | NPI | - | NPPES |
P01227137 | Other | MS | RAILROAD MCR PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 18489 (Mississippi) | Primary |
Entity Name | Jackson Radiology Assoc, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043341902 PECOS PAC ID: 5698751667 Enrollment ID: O20040629000906 |
Entity Name | Radiological Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346398625 PECOS PAC ID: 7810969607 Enrollment ID: O20040811001079 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | South Georgia Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20230203001442 |
Mailing Address | Practice Location Address |
---|---|
Kathleen H Hardin, MS Po Box 12870, Jackson, MS 39236-2870 Ph: (601) 896-0019 | Kathleen H Hardin, MS 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-6832 |
Gene Warren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
Allen R Yates, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
James W Sutherland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 |