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Organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Active
Organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Active
Other names
Internal Medicine Residency Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-1100
(662) 377-1065
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2386
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006609
—
MS
Enumeration date
10/12/2023
Last updated
01/21/2025
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