White Oak Family Medicine Clinic, Llc

NPI 1073759502 - Clinic/Center - 261QP2300X

NPI Details
NPI 1073759502
Enumeration Date 01/06/2009
Last Updated 01/11/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ERIK S ERIK
Position OWNER
Phone (662) 236-1927
Fax (662) 236-3727
Practice Location
1190 S 18TH STREET EXT
OXFORD MS, 38655-5378, US
Phone (662) 236-1927
Fax (662) 236-3727
Business Location
1190 S 18TH STREET EXT
OXFORD MS, 38655-5378, US
Phone (662) 236-1927
Fax (662) 236-3727
Toxanomy
Taxonomy Code 261QP2300X
License State Mississippi
License Number 17356
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According to our database, White Oak Family Medicine Clinic, Llc NPI is 1073759502, taxonomy code is 261QP2300X and license number is 17356, license state is located at Mississippi. White Oak Family Medicine Clinic, Llc physically located at 1190 S 18th Street Ext, Oxford MS, 38655-5378. NPI Number 1033115704 has the healthcare provider type.

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1073759502 NPI number is provided on an as is basis without warranty of any kind. 1073759502 is maintained by the National Plan & Provider Enumeration System. The contents of White Oak Family Medicine Clinic, Llc are for informational purposes only.