Healthcare Provider Details

I. General information

NPI: 1770597601
Provider Name (Legal Business Name): NORTH HARPER IMAGING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 PROPER STREET
CORINTH MS
38834
US

IV. Provider business mailing address

2421 PROPER STREET
CORINTH MS
38834
US

V. Phone/Fax

Practice location:
  • Phone: 662-287-0376
  • Fax: 662-286-0205
Mailing address:
  • Phone: 662-287-0376
  • Fax: 662-286-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD O. KING III
Title or Position: DIRECTOR
Credential:
Phone: 662-287-0376