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Contact Information

RADIATION ONCOLOGY OF NORTH MISSISSIPPI PLLC
990 SOUTH MADISON STREET
TUPELO, MS38801-6308
 Phone: 662-377-4077
 Fax: 662-377-4048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RADIATION ONCOLOGY OF NORTH MISSISSIPPI PLLC · (Female)

NPI # 1235335811
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2007
Last updated 03/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 529932844
  • MS Medicaid 05088260
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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