# OXFORD UROLOGY ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OXFORD UROLOGY ASSOCIATES, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265269617
- **Legal business name:** OXFORD UROLOGY ASSOCIATES, PLLC
- **Authorized official:** AMANDA NICOLE GARDNER (ADMINISTRATOR)
- **Authorized official phone:** (662) 234-1448

## Contact information

- **Practice address:** 2168 S LAMAR BLVD, OXFORD, MS 38655-5224
- **Practice address phone:** (662) 234-1448
- **Practice address fax:** (662) 234-5374
- **Mailing address:** PO BOX 1013, OXFORD, MS 38655-1013
- **Mailing address phone:** (662) 234-1448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024