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Organization

OXFORD CARDIOVASCULAR PHYSICIANS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA FOWLKES M.D. (PHYSICIAN)
(662) 234-0332
Entity
Organization

Contact information

Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891
Mailing address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116108
MS
01
60000407
MEDICARE UNSPECIFIED
MS
Enumeration date
01/05/2007
Last updated
06/21/2018
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