Organization
SOUTHERN ONCOLOGY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R MITCHELL MD (PRESIDENT)
(704) 659-7848
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
(704) 947-5005
(877) 881-8455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
13089
NC
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
08/27/2021
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