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“Diagnostic Radiology Physician” (Edgefield, SC)

Location: Edgefield, SC
Taxonomy: Diagnostic Radiology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1619030327 — DR. JACK RUSSELL CANNON II M.D.
Practice Location Address:
300 RIDGE MEDICAL PLAZA
EDGEFIELD SC
29824-9986
Practice Phone: 803-637-1175
1922582105 — SELF REGIONAL HEALTHCARE PARTNERS
Practice Location Address:
300 RIDGE MEDICAL PLAZA RD
EDGEFIELD SC
29824-4525
Practice Phone: 803-637-3174

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