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Contact Information

NORTH CENTRAL MISSISSIPPI REGIONAL CANCER CENTER
1401 RIVER RD
GREENWOOD, MS38930-4030
 Phone: 662-459-7133
 Fax: 662-459-7136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for NORTH CENTRAL MISSISSIPPI REGIONAL CANCER CENTER · (Female)

NPI Number 1275645798
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 07161
  • MS Medicaid 9014280
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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