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Individual

JIMMY CAUDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 N STATE ST, DEPARTMENT OF RADIATION ONCOLOGY, JACKSON, MS 39216-4500
(601) 984-2550
(601) 815-6876
Mailing address
131 PLANTATION DR, MADISON, MS 39110-8553
(601) 984-2550
(601) 815-6876

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20557
MS
2085R0001X
Radiation Oncology Physician
26887
AL

Other

Enumeration date
05/23/2007
Last updated
11/10/2009
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