Organization
KEYSTONE MEDICAL SERVICES OF MISSISSIPPI, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILUS OKEKE M.D. (OWNER)
(904) 482-1070
Entity
Organization
Contact information
Practice address
233 MAGNOLIA ST, HAZLEHURST, MS 39083-2228
(601) 894-4541
(904) 482-1076
Mailing address
PO BOX 281030, ATLANTA, GA 30384-1030
(904) 482-1070
(904) 482-1076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09403285
—
MS
Enumeration date
12/07/2007
Last updated
12/07/2007
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