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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHIL OTIS NELSON JR., M.D.

Active Sole Proprietor

DR. PHIL OTIS NELSON JR., M.D. is a Diagnostic Radiology healthcare provider located in JACKSON, Mississippi. NPI 1063890754 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · JACKSON, MS

Registration Details

NPI Number
1063890754
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2015 (11.246159273413 yrs)
Last Updated
May 13, 2015
License
04082 (MS)
Sole Proprietor
Yes

Practice Information

Address
146 RIDGE DR
JACKSON, MS, 392164109
Browse MS providers · Browse ZIP 39216
Phone
6019825793
Fax
6019843631
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in JACKSON, MS

Name Credential NPI
DR. ERIC L RUSHING M.D. 1891792842
DR. RALPH P WELLS M.D. 1265439228
DR. KAREN J HOUSTON M.D. 1497753172
DR. NORWOOD M SMITH M.D. 1275531881
ANDREW T SMYTH MD 1982689816
NEVILLE R. WICHMAN M.D. 1437121134
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.