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NPI Profile for SHADELL CATER in SOUTHAVEN, MS.
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Ultrasound |
2085U0001X |
| NPI # | 1063109767 |
|
| Status | Active | |
| Credentials | RDMS,RVT | |
| Entity | Individual | |
| Enumeration date | 04/21/2023 | |
| Last updated | 07/18/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHADELL CATER
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SHADELL CATER, RDMS,RVT