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Organization

GUMTREE MEDICAL CLINIC, PLLC

Active
Other names
The Kidney Clinic of Oxford, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY JOHN HALE M.D. (OWNER)
(662) 236-6636
Entity
Organization

Contact information

Practice address
1306 BELK BLVD STE A, OXFORD, MS 38655-5302
(662) 236-6636
(662) 236-6602
Mailing address
1306 BELK BLVD STE A, OXFORD, MS 38655-5302
(662) 236-6636
(662) 236-6602

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
05/11/2009
Last updated
05/11/2015
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