| Organization Name: | OXFORD ORTHOPAEDICS AND SPORTS MEDICINE PLLC |
| NPI Number: | 1023042033 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COOPER LOOMIS TERRY (PHYSICIAN) |
| Mailing Address: | 497 Azalea Dr Suite 102 Oxford |
| State: | MS US |
| Postal Code: | 386557905 |
| Phone Number: | 6625132000 |
| Fax Number: | 6625132001 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |