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Organization
NATCHEZ ONCOLOGY CLINIC INCORPORATED
Active
Organization
NATCHEZ ONCOLOGY CLINIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK JOSEPH RODRIGUEZ MD (OWNER)
(601) 442-9210
Entity
Organization
Contact information
Practice address
106 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5104
(601) 442-9210
(601) 442-7409
Mailing address
400 S COMMERCE ST, NATCHEZ, MS 39120-3506
(601) 442-9210
(601) 442-7409
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
15252
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123444
—
MS
05
—
09015568
—
MS
Enumeration date
11/30/2006
Last updated
02/01/2018
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