Provider Demographics
NPI:1609923069
Name:INTERNAL MEDICINE ASSOCIATES OF OXFORD
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF OXFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-234-0332
Mailing Address - Street 1:551 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-7900
Mailing Address - Country:US
Mailing Address - Phone:662-234-0332
Mailing Address - Fax:662-234-2891
Practice Address - Street 1:551 AZALEA DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-7900
Practice Address - Country:US
Practice Address - Phone:662-234-0332
Practice Address - Fax:662-234-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS9015531Medicaid
MSCM6427Medicare PIN
MS9015531Medicaid