NPI: 1811121411
Provider Name: GUMTREE MEDICAL CLINIC, PLLC
Doing Business As: THE KIDNEY CLINIC OF OXFORD, PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization
Specialization: Nephrology
Address:
1306 BELK BLVD STE A
OXFORD, MS
ZIP 38655
Phone: (662) 236-6636
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GUMTREE MEDICAL CLINIC, PLLC is a nephrology internal medicine in Oxford, MS. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. GUMTREE MEDICAL CLINIC, PLLC NPI is 1811121411. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Kidney Clinic Of Oxford, Pllc.
The provider's business location address is:
1306 BELK BLVD STE A
OXFORD, MS
ZIP 38655-302
Phone: (662) 236-6636
Fax: (662) 236-6602
The provider's authorized official is Gregory John Hale .
The authorized official title is Owner and has the following contact phone number (662) 236-6636.
The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2015.