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NPI Code Detail

MEDICARE: COLUMBUS HEMATOLOGY & ONCOLOGY, PA

MEDICARE: COLUMBUS HEMATOLOGY & ONCOLOGY, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist15311MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881698215
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS HEMATOLOGY & ONCOLOGY, PA
Provider Business Mailing Address
First Line : PO BOX 8489
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-0034
Country : US
Telephone Number : 662-240-0650
Fax Number : 662-240-0483
Provider Business Practice Location Address
First Line : 425 HOSPITAL DR
Second Line : STE 4
City : COLUMBUS
State : MS
Zip : 39705-1938
Country : US
Telephone Number : 662-240-0650
Fax Number : 662-240-0483
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN P. WHITECAR JR.
Credential : M.D.
Telephone Number : 662-240-0650
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/19/2007

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Directions to “COLUMBUS HEMATOLOGY & ONCOLOGY, PA ” Practice Location

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