Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid South Radiation Oncology Center, LLC

Organization Radiation Oncology Physician · NPI 1063415461

Mid South Radiation Oncology Center, LLC is a Radiation Oncology Physician 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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