Individual
DR. L. CAMERON PIMPERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 S 13TH AVE, LAUREL, MS 39440-4111
(601) 425-2999
(601) 425-3286
Mailing address
127 S 13TH AVE, LAUREL, MS 39440-4111
(601) 425-2999
(601) 425-3286
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19054
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04150773
—
MS
01
—
19054
MISSISSIPPI MEDICAL LICEN
MS
01
—
302G702986
ONCOLOGICS LLC GROUP PTAN
MS
01
—
302I922979
PIMPRELL MEDICARE PTAN EFFECTIVE 05/19/2012
MS
Enumeration date
08/13/2006
Last updated
03/09/2016
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