| Eugene Kevin O'hea | |
|
697 Manila St Lucedale MS 39452-6505 | |
| (601) 947-3377 | |
| (601) 947-3380 |
| Full Name | Eugene Kevin O'hea |
|---|---|
| Speciality | Family Medicine |
| Location | 697 Manila St, Lucedale, Mississippi |
| Authorized Official Name and Position | Eugene Kevin O'hea (OWNER) |
| Authorized Official Contact | 6019473377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Kevin O'hea 697 Manila St Lucedale MS 39452-6505 Ph: (601) 947-3377 | Eugene Kevin O'hea 697 Manila St Lucedale MS 39452-6505 Ph: (601) 947-3377 |
| NPI Number | 1184136962 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184136962 | NPI | - | NPPES |
| 00117316 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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