| Tyson Big Tree Llc | |
|
2159 S Lamar Blvd Oxford MS 38655 | |
| (662) 236-2222 | |
| Not Available |
| Full Name | Tyson Big Tree Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2159 S Lamar Blvd, Oxford, Mississippi |
| Authorized Official Name and Position | Weston Humphreys (COO) |
| Authorized Official Contact | 6622362222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Big Tree Llc 2159 S Lamar Blvd Oxford MS 38655 Ph: (662) 236-2222 | Tyson Big Tree Llc 2159 S Lamar Blvd Oxford MS 38655 Ph: (662) 236-2222 |
| NPI Number | 1770338410 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770338410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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