Organization
SOUTHERN ONCOLOGY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R MITCHELL MD (OWNER/MD)
(704) 945-6843
Entity
Organization
Contact information
Practice address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(704) 947-5005
(877) 881-8455
Mailing address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(047) 947-5005
(877) 881-8455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34407
NC
207RH0003X
Hematology & Oncology Physician
Primary
34407
NC
3336S0011X
Specialty Pharmacy
13089
NC
Other
Enumeration date
08/24/2010
Last updated
08/27/2021
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