Live Oaks Addiction Professionals
NPI #1619433943 in Southaven, Mississippi
Provider Information
- NPI Number
- 1619433943
- Entity Type
- Organization
- Organization Name
- Live Oaks Addiction Professionals
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Feb 12, 2019
- Last Updated
- Feb 12, 2019
Practice Location
- Address
- 5699 GETWELL RD STE 1
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-7312
- Phone
- (662) 510-8400
Authorized Official
- Name
- DR. GARY D. CARR, MD
- Title
- SOLE MEMBER
- Phone
- (662) 510-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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