Oden, Gregory S

Oden, Gregory S is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Oden, Gregory S can be contacted via phone (601) 376-2022.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Phone: (601) 376-2022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16665 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 16665 Mississippi

Profile Details

NPI number 1033129440
LBN Legal business name Oden, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033129440 NPPES
Mississippi MEDICAID 00121633

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