Individual
DR. EUGENE KEVIN O'HEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
14808
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010056457
PALMETTO GBA MEDICARE
MS
05
—
0117316
—
MS
01
—
C00960
MEDICARE CAHABA
MS
01
—
CN0018
PALMETTO RAILROAD GROUP
MS
Enumeration date
08/16/2006
Last updated
10/17/2019
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