Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mid South Radiation Oncology Center, LLC

Organization Radiation Oncology Physician · NPI 1063415461

Mid South Radiation Oncology Center, LLC provides Radiation Oncology Physician services in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1381 S Germantown Rd
Germantown, TN 38138-2225
Phone: (901) 624-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X (TN)

Record details

NPI number1063415461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Stockstill — Chief Manager · (901) 624-2600
NPI enumeratedMay 31, 2005
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 341286, Memphis, TN 38184-1286

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