Organization · Type 2 NPI
Live Oaks Addiction Professionals
Addiction Medicine (Family Medicine) Physician · Southaven, MS
NPI number
1619433943
Active
Practice location
5699 Getwell Rd Ste 1
Southaven, MS 38672-7312
Fax (662) 510-8500
Mailing address
201 Methodist Blvd Ste 100
Hattiesburg, MS 39402-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1619433943
Live Oaks Addiction Professionals's National Provider Identifier is 1619433943, issued on Feb 12, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Southaven, MS. The record was last updated on Feb 12, 2019.