| Oxford Centre Physician Group, P.a. | |
|
1916 University Ave Oxford MS 38655-4114 | |
| (662) 281-9992 | |
| (662) 281-1326 |
| Full Name | Oxford Centre Physician Group, P.a. |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1916 University Ave, Oxford, Mississippi |
| Authorized Official Name and Position | Thomas Debow Fowlkes (PRESIDENT) |
| Authorized Official Contact | 6622819992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxford Centre Physician Group, P.a. Po Box 3488 Dept. 05-022 Tupelo MS 38803-3488 Ph: (662) 281-9992 | Oxford Centre Physician Group, P.a. 1916 University Ave Oxford MS 38655-4114 Ph: (662) 281-9992 |
| NPI Number | 1477817526 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477817526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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