Oak Grove Family Clinic
NPI #1538378567 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1538378567
- Entity Type
- Organization
- Organization Name
- Oak Grove Family Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5192 OLD HIGHWAY 11
- Address 2
- SUITE 2
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-6222
- Phone
- (601) 268-0929
Authorized Official
- Name
- DR. GARY D CARR, M.D.
- Title
- PRESIDENT
- Phone
- (601) 268-0929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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