Individual
DR. MATTHEW WADE CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 23RD AVE, SECOND FLOOR, MERIDIAN, MS 39301-3103
(601) 482-1555
(601) 696-4608
Mailing address
1704 23RD AVE, SECOND FLOOR, MERIDIAN, MS 39301-3103
(601) 482-1555
(601) 696-4608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20329
MS
207RH0003X
Hematology & Oncology Physician
Primary
20329
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009300810
—
MS
Enumeration date
05/24/2007
Last updated
10/15/2024
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