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NPI Profile for THELMA L CHISHOLM in LAKELAND, FL.
January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0203X |
| NPI # | 1649241852 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/27/2006 | |
| Last updated | 06/12/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THELMA L CHISHOLM
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THELMA L CHISHOLM, MD