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Eddie O'Bannon, PD
NPI 1457695744 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2260 Highway 51 S
Hernando, MS 38632 - Phone
- (662) 280-7457
- Fax
- (662) 280-7457
- Organisation at this address
- V3 Healthcare Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi