Organization
OXFORD CENTRE PHYSICIAN GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DEBOW FOWLKES MD (PRESIDENT)
(662) 281-9992
Entity
Organization
Contact information
Practice address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-9992
(662) 281-1326
Mailing address
PO BOX 3488, DEPT. 05-022, TUPELO, MS 38803-3488
(662) 281-9992
(662) 281-1326
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
03/03/2014
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