NW MISSISSIPPI SPECIALTY CLINIC; NPI #1548424914

Contact Information

NW MISSISSIPPI SPECIALTY CLINIC

1401 RIVER RD
GREENWOOD, MS 38930-4030

Phone: 888-670-6080
Fax: 770-443-4410
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for NW MISSISSIPPI SPECIALTY CLINIC

NPI # 1548424914

LBN Legal business name NW MISSISSIPPI SPECIALTY CLINIC

Authorized official RODERICK GIVENS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2008

Last updated 07/15/2008 - About 18 years ago

Identifiers

MS	License #	14914
MS	Medicaid	00117509

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NW MISSISSIPPI SPECIALTY CLINIC

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for NW MISSISSIPPI SPECIALTY CLINIC

Reviews for NW MISSISSIPPI SPECIALTY CLINIC