institution
White Oak Family Medicine Clinic, Llc
Primary Care Clinic/Center in Oxford, Mississippi
NPI 1073759502

White Oak Family Medicine Clinic, Llc is a Primary Care Clinic/Center based in Oxford, MS and is specialized in Primary Care. White Oak Family Medicine Clinic, Llc practices in Oxford, MS. The NPI Number for White Oak Family Medicine Clinic, Llc is 1073759502 and holds a License No. 17356 (Mississippi).

The current practice location address for White Oak Family Medicine Clinic, Llc is 1190 S 18Th Street Ext, Oxford, MS and can be reached out via phone at 662-236-1927 and via fax at 662-236-3727. You can also correspond with White Oak Family Medicine Clinic, Llc through the mailing address at 1190 S 18TH STREET EXT, OXFORD, MS - 38655-5378 (mailing address contact number: 662-236-1927).

Location: 1190 S 18Th Street Ext, Oxford, MS, 38655-5378
institution
Provider Profile Details
NPI Number
1073759502
Provider Name
White Oak Family Medicine Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1190 S 18Th Street Ext, Oxford, MS, 38655-5378
Phone Number
662-236-1927
Fax Number
662-236-3727
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302G088746 01 MS GROUP PTAN
302I088746 01 MS INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
1190 S 18Th Street Ext
City
State
Zip
38655-5378
Phone Number
662-236-1927
Fax Number
662-236-3727
person
Provider Business Mailing Address Details
Address
1190 S 18Th Street Ext
City
State
Zip
38655-5378
Phone Number
662-236-1927
Fax Number
662-236-3727
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
17356 (Mississippi)
Definition
Definition to come...
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