Organization
OXFORD BARIATRIC, GENERAL & METABOLIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICKI JOHNSON (OFFICE MANAGER)
(662) 234-3303
Entity
Organization
Contact information
Practice address
2215 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 234-3303
(662) 232-8936
Mailing address
2215 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 234-3303
(662) 232-8936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125938
—
MS
05
—
0118175
—
MS
Enumeration date
04/02/2007
Last updated
08/28/2009
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