Organization
HERITAGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M KINCAID (OWNER)
(662) 816-4071
Entity
Organization
Contact information
Practice address
300 HERITAGE DR, OXFORD, MS 38655-5463
(662) 816-4071
Mailing address
PO BOX 1105, OXFORD, MS 38655-1105
(662) 816-4071
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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