Organization
OXFORD PEDIATRIC GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM I MARRIAM CPA (OFFICE MANAGER)
(662) 513-4399
Entity
Organization
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 513-4399
(662) 513-4330
Mailing address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 513-4399
(662) 513-4330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08420763
—
MS
Enumeration date
12/13/2006
Last updated
08/22/2020
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