Organization
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE C WALTERS (OFFICE MANAGER)
(662) 844-9166
Entity
Organization
Contact information
Practice address
1205 HIGHWAY 182 WEST, STARKVILLE, MS 39759
(662) 320-8545
(662) 320-8049
Mailing address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 844-9166
(662) 844-0170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17646
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013493
—
MS
Enumeration date
06/25/2009
Last updated
10/04/2012
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