Individual
CHARLES OZBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 VETERANS MEMORIAL BLVD, EUPORA, MS 39744-2064
(662) 258-7200
(662) 258-5871
Mailing address
1301 VETERANS MEMORIAL BLVD, EUPORA, MS 39744-2064
(662) 258-7200
(662) 258-5871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05006
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011972
—
MS
Enumeration date
04/06/2006
Last updated
02/21/2011
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