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NPI Code Detail

MEDICARE: DR. AUSTINE ONYIA

MEDICARE:  DR. AUSTINE  ONYIA
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
1183500000XPharmacist101981MS

General Provider Information

NPI Number : 1982589164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUSTINE ONYIA
Provider Business Mailing Address
First Line : 544 BELLEVUE ST
Second Line :
City : CLINTON
State : MS
Zip : 39056-3815
Country : US
Telephone Number : 601-519-9435
Fax Number :
Provider Business Practice Location Address
First Line : 204 CLINTON BLVD # MS 39056
Second Line :
City : CLINTON
State : MS
Zip : 39056-5126
Country : US
Telephone Number : 601-926-1179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2025
Last Update Date : 08/07/2025

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Directions to “ DR. AUSTINE ONYIA ” Practice Location

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