NPI 1275645798

North Central Mississippi Regional Cancer Center

Organisation Radiation Oncology Physician Greenwood, MS

Practice location

Address: 1401 River Rd, Greenwood, MS 38930-4030
Phone: (662) 459-7133
Fax: (662) 459-7136

Authorised official

Name: Madison Wilson Gaillard
Title: Administrator
Phone: (662) 459-7133

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence 07161 (MS)

Other Radiology providers in Mississippi →

Registry record

NPI: 1275645798
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.