OrganizationActive
Live Oaks Addiction Professionals
NPI 1619433943 · Addiction Medicine (Family Medicine) Physician · Southaven, MS
Provider details
- NPI number
- 1619433943
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Carr, Sole Member(662) 510-8400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5699 Getwell Rd Ste 1
Southaven, MS 38672-7312
Phone: (662) 510-8400
Fax: (662) 510-8500
Approximate (ZIP-level) locationGet directions
Mailing address
201 Methodist Blvd Ste 100
Hattiesburg, MS 39402-1267
Registry dates
- Enumerated
- 2019-02-12
- Last updated
- 2019-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.