Organization
OAK MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BLACK (OWNER)
(662) 803-3858
Entity
Organization
Contact information
Practice address
160 NUTMEG LANE, CANTON, MS 39046
(662) 803-3858
Mailing address
160 NUTMEG LANE, CANTON, MS 39046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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