Organization
MID SOUTH RADIATION ONCOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD STOCKSTILL MD (CHIEF MANAGER)
(901) 624-2600
Entity
Organization
Contact information
Practice address
1381 S GERMANTOWN RD, GERMANTOWN, TN 38138-2225
(901) 624-2600
Mailing address
PO BOX 341286, MEMPHIS, TN 38184-1286
(901) 291-2400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
TN
Other
Enumeration date
05/31/2005
Last updated
07/21/2022
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