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Organization
MID-SOUTH CANCER CENTER
Active
Organization
MID-SOUTH CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA KUSHNIR (BUSINESS OFFICE ASSISTANT MANAGER)
(901) 763-0446
Entity
Organization
Contact information
Practice address
8000 WOLF RIVER BLVD, SUITE 100, GERMANTOWN, TN 38138-1727
(901) 763-0446
(901) 763-0042
Mailing address
PO BOX 1000, DPT 242, MEMPHIS, TN 38148-0242
(901) 763-0446
(901) 763-0042
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/28/2005
Last updated
08/22/2020
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