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Contact Information

MISSISSIPPI DIVERSIFIED HEALTHCARE INC
133 JEFFERSON DAVIS BLVD
NATCHEZ, MS39120-5103
 Phone: 770-443-4483
 Fax: 770-443-4410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MISSISSIPPI DIVERSIFIED HEALTHCARE INC

NPI # 1881822708
LBN Legal business name MISSISSIPPI DIVERSIFIED HEALTHCARE INC
Authorized official RODERICK GIVENS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2009
Last updated 06/30/2009 - About 17 years ago
Identifiers
MS License # 18348
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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