Organization
JACKSON ONCOLOGY ASSOCIATES, PLLC
Active
Parent organization
JACKSON ONCOLOGY ASSOCIATES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON ONCOLOGY ASSOCIATES, PLLC
Authorized official
RICHARD W GRIFFITH (EXECUTIVE DIRECTOR)
(601) 974-5578
Entity
Organization
Contact information
Practice address
1860 CHADWICK DR STE 301, JACKSON, MS 39204-3467
(601) 373-4421
(601) 372-9227
Mailing address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03330910
—
MS
Enumeration date
03/05/2007
Last updated
11/15/2017
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