Organization
CHILDREN'S CLINIC OF OXFORD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE TANNER HARRIS M.D. (OWNER)
(662) 234-8286
Entity
Organization
Contact information
Practice address
2888 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 234-8286
(662) 234-6644
Mailing address
2888 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 234-8286
(662) 234-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014633
—
MS
Enumeration date
03/29/2007
Last updated
08/22/2020
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