Organization
RADIATION ONCOLOGY OF MISSISSIPPI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E ZACHOW MD (PRESIDENT)
(601) 376-2074
Entity
Organization
Contact information
Practice address
970 LAKELAND DR, SUITE 34, JACKSON, MS 39216-4635
(601) 362-0600
(601) 362-1186
Mailing address
970 LAKELAND DR, SUITE 34, JACKSON, MS 39216-4635
(601) 362-0600
(601) 362-1186
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009012235
—
MS
05
—
09012235
—
MS
01
—
91-066530
BLUE CROSS ACH
MS
Enumeration date
10/12/2006
Last updated
02/14/2023
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