# E KEVIN OHEA MD GENERAL FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831687953
- **Authorized official:** DR. E KEVIN O'HEA MD (MBR)
- **Authorized official phone:** (601) 947-3377

## Contact information

- **Practice address:** 697 MANILA ST, LUCEDALE, MS 39452-6505
- **Practice address phone:** (601) 947-3377
- **Practice address fax:** (601) 947-3380
- **Mailing address:** 697 MANILA ST, LUCEDALE, MS 39452-6505
- **Mailing address phone:** (601) 947-3377
- **Mailing address fax:** (601) 947-3380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 04/24/2018