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Organization
NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Active
Organization
NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Active
Other names
Virtual Connected Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-5201
Entity
Organization
Contact information
Practice address
2633 LAWNDALE DR, TUPELO, MS 38801-6709
(662) 377-4665
(662) 377-4709
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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