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DR. PATRICK ELLISON SEWELL M.D.

Physicians Radiology Diagnostic Neuroimaging

Provider NPI: 1043321326

Provider Information:
DR. PATRICK ELLISON SEWELL M.D.
Gender: M
Sole Proprietor

Practice Location:
1421 E PEACE ST A CANTON, MS 39046-4938 US
Tel: 601-832-2643  Fax: --

Business Mailing Address:
1421 E PEACE ST A CANTON, MS 39046-4938 US
Tel: 601-832-2643  Fax: --

NPI Information:
NPI: 1043321326
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085D0003XPhysicians
Radiology
Diagnostic Neuroimaging
MS14876
N2085R0202XPhysicians
Radiology
MS14876
N2085U0001XPhysicians
Radiology
MS14876
N2085N0700XPhysicians
Radiology
MS14876
N2085N0904XPhysicians
Radiology
MS14876
N2085P0229XPhysicians
Radiology
MS14876
N2085R0001XPhysicians
Radiology
MS14876
Y2085R0204XPhysicians
Radiology
MS14876
N2085R0203XPhysicians
Radiology
MS14876

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2085R0204X

Type:

Classification:



Definition:



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