SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY PLLC NPI 1114121373

NPI Information

NPI: 1114121373
Provider Name: SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
301 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 288-1700
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SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC is an oncology and radiation clinic center in Hattiesburg, MS. SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC NPI is 1114121373. The provider is registered as an organization entity type.

The provider's business location address is:

301 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-233
Phone: (601) 288-1700

The provider's authorized official is Mei-chang Cheng .
The authorized official title is Radiation Oncologist and has the following contact phone number (601) 288-1700.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 1/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0203X	Clinic/Center	Oncology, Radiation		MISSISSIPPI	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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