Organization
URGENT CARE CLINIC OF OXFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY DENISE MCCULLOUGH (OFFICE MANAGER)
(662) 234-1090
Entity
Organization
Contact information
Practice address
1487 BELK BLVD, OXFORD, MS 38655-5371
(662) 234-1090
(662) 234-0432
Mailing address
1487 BELK BLVD, OXFORD, MS 38655-5371
(662) 234-1090
(662) 234-0432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10602
MS
207Q00000X
Family Medicine Physician
Primary
13516
MS
207Q00000X
Family Medicine Physician
18438
MS
363L00000X
Nurse Practitioner
R728594
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015608
—
MS
05
—
06759064
—
MS
05
—
9014432
—
MS
Enumeration date
05/25/2007
Last updated
03/23/2011
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