White Oak Family Medicine Clinic, LLC
NPI #1073759502 in Oxford, Mississippi
Provider Information
- NPI Number
- 1073759502
- Entity Type
- Organization
- Organization Name
- White Oak Family Medicine Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 6, 2009
- Last Updated
- Jan 11, 2010
Practice Location
- Address
- 1190 S 18TH STREET EXT
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5378
- Phone
- (662) 236-1927
Authorized Official
- Name
- MR. ERIK S RICHARDSON, M.D.
- Title
- OWNER
- Phone
- (662) 236-1927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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