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NPI Code Detail

MEDICARE: CARDIOLOGY CONSULTANTS OF OXFORD

MEDICARE: CARDIOLOGY CONSULTANTS OF OXFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194760413
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOLOGY CONSULTANTS OF OXFORD
Provider Business Mailing Address
First Line : 2209 JEFFERSON DAVIS DR
Second Line :
City : OXFORD
State : MS
Zip : 38655-5221
Country : US
Telephone Number : 662-236-1352
Fax Number : 662-236-6828
Provider Business Practice Location Address
First Line : 2209 JEFFERSON DAVIS DR
Second Line :
City : OXFORD
State : MS
Zip : 38655-5221
Country : US
Telephone Number : 662-236-1352
Fax Number : 662-236-6828
Authorized Official
Title or Position : OWNER
Name : DR. JAMES STEPHEN PURDON
Credential : M.D.
Telephone Number : 662-236-1352
Provider Enumeration Date : 06/19/2006
Last Update Date : 05/22/2008

Similar Medicare Providers

1245619527 — LAURIE E. DREW DPT
Practice Location Address:
2205 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-238-2800
Practice Fax: 662-238-2808
1225090715 — DR. MARK EDWARD CAMPBELL M.D.
Practice Location Address:
2209 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-281-1115
Practice Fax:
1538104153 — CORNERSTONE REHABILITATION OF OXFORD, INC
Practice Location Address:
2205 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-238-2800
Practice Fax: 662-238-2808
1437185188 — MR. BRIAN KYLE WICKER PT
Practice Location Address:
2205 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-238-2800
Practice Fax: 662-238-2808
1003842634 — MR. ANDREW ASHBY BUGLEWICZ PT
Practice Location Address:
2205 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-238-2800
Practice Fax: 662-238-2808
1598791956 — MS. MIRIAM HOBBS WICKER PT
Practice Location Address:
2205 JEFFERSON DAVIS DR
OXFORD, MS
38655-5221
Practice Phone: 662-238-2800
Practice Fax: 662-238-2808

Directions to “CARDIOLOGY CONSULTANTS OF OXFORD ” Practice Location

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