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NPI Code Detail

MEDICARE: DR. SHAUN LAUGHLIN HELMHOUT M.D.

MEDICARE: DR. SHAUN LAUGHLIN HELMHOUT M.D.
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
1207Q00000XFamily Medicine Physician17224MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00463815OTHERMSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851308480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAUN LAUGHLIN HELMHOUT M.D.
Provider Business Mailing Address
First Line : 1397 BELK BLVD
Second Line :
City : OXFORD
State : MS
Zip : 38655-5301
Country : US
Telephone Number : 662-236-4675
Fax Number : 662-281-0819
Provider Business Practice Location Address
First Line : 1397 BELK BLVD
Second Line :
City : OXFORD
State : MS
Zip : 38655-5301
Country : US
Telephone Number : 662-236-4675
Fax Number : 662-281-0819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 01/28/2010

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