Organization
NATCHEZ ONCOLOGY CENTER
Active
Parent organization
MOBILE DIAGNOSTICS, INC
Other names
CARING RIVER CANCER CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOBILE DIAGNOSTICS, INC
Authorized official
MS. DYAN GRAPPE (ADMINISTRATOR)
(601) 442-1285
Entity
Organization
Contact information
Practice address
133 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 442-1285
(601) 446-9683
Mailing address
PO BOX 18699, NATCHEZ, MS 39122-8699
(601) 442-1285
(601) 446-9683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4453
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014045
—
MS
Enumeration date
05/18/2007
Last updated
07/01/2010
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