Lookup NPI Numbers from the NPI Registry
NPI Profile for LIVE OAKS ADDICTION PROFESSIONALS in SOUTHAVEN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice |
| NPI Number | 1619433943 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/12/2019 | |
| Last updated | 02/12/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LIVE OAKS ADDICTION PROFESSIONALS
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LIVE OAKS ADDICTION PROFESSIONALS