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Organization
CLAY COUNTY HEALTH PROVIDERS
Active
Organization
CLAY COUNTY HEALTH PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (SECRETARY)
(662) 377-4228
Entity
Organization
Contact information
Practice address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
Mailing address
835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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