OrganizationActive
Associated Radiologists PA
NPI 1790774263 · Diagnostic Radiology Physician · Brookhaven, MS
Provider details
- NPI number
- 1790774263
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Saundra Shannon, Office Manager
Practice location
108 Lance Alworth Dr
Brookhaven, MS 39601-2300
Phone: (601) 833-6011
Fax: (601) 835-5413
Mailing address
Po Box 764
Brookhaven, MS 39602-0764
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.