Provider Demographics
NPI:1891951836
Name:MISSISSIPPI ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:MISSISSIPPI ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-987-3033
Mailing Address - Street 1:971 LAKELAND DR
Mailing Address - Street 2:SUITE 750
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4643
Mailing Address - Country:US
Mailing Address - Phone:601-987-3033
Mailing Address - Fax:601-987-9830
Practice Address - Street 1:971 LAKELAND DR
Practice Address - Street 2:SUITE 750
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4643
Practice Address - Country:US
Practice Address - Phone:601-987-3033
Practice Address - Fax:601-987-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty