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1619433943
LIVE OAKS ADDICTION PROFESSIONALS
SOUTHAVEN, MS
NPI
1619433943
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Entity Type
Organization
Authorized Contact
GARY D. CARR
Sole Member
662-510-8400
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
LIVE OAKS ADDICTION PROFESSIONALS
5699 GETWELL RD STE 1
SOUTHAVEN, MS 38672-7312
Phone number: 662-510-8400
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Mailing Address
LIVE OAKS ADDICTION PROFESSIONALS
201 METHODIST BLVD STE 100
HATTIESBURG, MS 39402-1267
Phone number: 601-296-3151
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