The Medical Oncology Group
The Medical Oncology Group provides Specialist services in Gulfport, Mississippi. Registered with an NPI since 2005.
- In the registry since
- 2005
Practice location Address checks out
1340 Broad Ave Ste 270Gulfport, MS 39501-2404 Not confirmed with CMS for 16 years — call before visiting
Phone: (228) 575-1234
Fax: (228) 575-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1639155088 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edwin Davidson — Senior Partner/Physician · (228) 575-1234 |
| NPI enumerated | December 19, 2005 |
| Last updated in NPPES | September 16, 2010 |
| Mailing address | Po Box 1210, Gulfport, MS 39502-1210 |
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Mr. Anthony J Stock, MD
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The Dermatology Clinic, PLLC
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Dr. Paul Derek Ware, MD
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Barry Willbrandt, MD
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Eric H Wolfson, MD
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