| Onyxcare Health | |
|
405 Briarwood Dr Ste 108b Jackson MS 39206-3032 | |
| (769) 572-2910 | |
| Not Available |
| Full Name | Onyxcare Health |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Briarwood Dr Ste 108b, Jackson, Mississippi |
| Authorized Official Name and Position | Alex J Brooks (PRESIDENT/CEO) |
| Authorized Official Contact | 7695722910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onyxcare Health 405 Briarwood Dr Ste 108b Jackson MS 39206-3032 Ph: (769) 572-2910 | Onyxcare Health 405 Briarwood Dr Ste 108b Jackson MS 39206-3032 Ph: (769) 572-2910 |
| NPI Number | 1952078875 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 2769825736 |
|---|---|
| Medicare Enrollment ID | O20240206004270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952078875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marion R Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720013428 PECOS PAC ID: 8921196767 Enrollment ID: I20071113000277 |
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