NPI 1407157217

Mississippi Diversified Healthcare

Organisation Radiation Oncology Physician Greenwood, MS

Practice location

Address: 1401 River Rd, Greenwood, MS 38930-4030
Phone: (770) 443-4483
Fax: (770) 443-4410
Mailing address: PO Box 18394, Natchez, MS 39122-8394

Authorised official

Name: Roderick C Givens
Title: MD
Phone: (770) 443-4483

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in Mississippi →

Registry record

NPI: 1407157217
Entity type: Organization
NPI issued: 10 Nov 2010
Record last updated: 10 Nov 2010

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.