| Kathleen H Hardin, MS | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-6832 | |
| Not Available |
| Full Name | Kathleen H Hardin |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2100 Highway 61 N, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740360056 | NPI | - | NPPES |
| P01227137 | Other | MS | RAILROAD MCR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18489 (Mississippi) | Primary |
| Entity Name | Radiological Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346398625 PECOS PAC ID: 7810969607 Enrollment ID: O20040811001079 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20230203001442 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen H Hardin, MS Po Box 12870, Jackson, MS 39236-2870 Ph: (601) 896-0019 | Kathleen H Hardin, MS 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-6832 |
Gene Warren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
Allen R Yates, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
James W Sutherland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 |