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Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Other names
North Mississippi Urology
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
100 WILBURN WAY STE A, STARKVILLE, MS 39759-3692
(662) 498-1400
(662) 498-1407
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009452018
—
MS
01
—
355782
MEDICARE
MS
Enumeration date
05/06/2020
Last updated
01/20/2025
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