Organization
EUGENE KEVIN O'HEA
Active
Other names
E. Kevin O'Hea MD Family Practice, E. Kevin O'Hea, MD Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE KEVIN O'HEA MD (OWNER)
(601) 947-3377
Entity
Organization
Contact information
Practice address
697 MANILA ST, LUCEDALE, MS 39452-6505
(601) 947-3377
(601) 947-3380
Mailing address
697 MANILA ST, LUCEDALE, MS 39452-6505
(601) 947-3377
(601) 947-3380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117316
—
MS
Enumeration date
11/01/2017
Last updated
09/13/2019
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