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Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Diabetes Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
410 COUNCIL CIR, TUPELO, MS 38801-4938
(662) 377-2500
(662) 377-2069
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/08/2015
Last updated
04/07/2017
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