Gumtree Medical Clinic, Pllc
NPI #1811121411 in Oxford, Mississippi
Provider Information
- NPI Number
- 1811121411
- Entity Type
- Organization
- Organization Name
- Gumtree Medical Clinic, Pllc
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- May 11, 2009
- Last Updated
- May 11, 2015
Practice Location
- Address
- 1306 BELK BLVD STE A
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5302
- Phone
- (662) 236-6636
Authorized Official
- Name
- DR. GREGORY JOHN HALE, M.D.
- Title
- OWNER
- Phone
- (662) 236-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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