The Medical Oncology Group

LBN: The Medical Oncology Group
The Medical Oncology Group is an health care organization with primary practice located at 1340 Broad Ave Suite 270, Gulfport MS 39501-2404. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Medical Oncology Group can be contacted via phone (228) 575-1234, or through Davidson, Edwin M via phone (228) 575-1234.

Contact Information

Primary practice address
1340 Broad Ave Suite 270 Gulfport MS 39501-2404
Phone: (228) 575-1234
Fax: (228) 575-1240
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Edwin M Doctor of Medicine (MD)
Phone: (228) 575-1234

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1639155088
LBN Legal business name The Medical Oncology Group
DBA Doing business as
Authorized official Davidson, Edwin M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2005
Last updated Sep 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639155088 NPPES
Mississippi MEDICAID 09012355

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