Organization
MERIDIAN ONCOLOGY ASSOCIATES PLLC
Active
Other names
Matthew Cassell, MD
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TURNER (CLINIC MANAGER)
(601) 482-1555
Entity
Organization
Contact information
Practice address
1704 23RD AVE, 2ND FLR, MERIDIAN, MS 39301-3103
(601) 482-1555
(601) 696-4611
Mailing address
1704 23RD AVE, 2ND FLR, MERIDIAN, MS 39301-3103
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
20329
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2586610
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
5939260001
PTAN
MS
01
—
CF9149
RAILROAD GROUP #
MS
Enumeration date
08/10/2006
Last updated
09/11/2017
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