Individual provider · Type 1 NPI
Shannon Ayiesha Milbourne, MD
Diagnostic Radiology Physician · Jackson, MS
NPI number
1295047561
Active
Practice location
2500 N State St, Department Of Radiology
Jackson, MS 39216-4500
Fax (601) 984-2683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | T-2338 (MS) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1295047561
Shannon Ayiesha Milbourne, MD's National Provider Identifier is 1295047561, issued on Jul 2, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, MS. The record was last updated on Jul 2, 2010.