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Contact Information

CLAY COUNTY MEDICAL CORPORATION
1205 HIGHWAY 182 W
STARKVILLE, MS39759-9820
 Phone: 662-320-8545
 Fax: 662-320-8981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLAY COUNTY MEDICAL CORPORATION · (Female)

NPI Number 1184112013
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2018
Last updated 01/20/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 000382331
  • MS Other 355782 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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