# NORTH MISSISSIPPI MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Internal Medicine Residency Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164203360
- **Authorized official:** BRUCE TOPPIN (CORPORATE SECRETARY)
- **Authorized official phone:** (662) 377-4229

## Contact information

- **Practice address:** 845 S MADISON ST, TUPELO, MS 38801-4905
- **Practice address phone:** (662) 377-1100
- **Practice address fax:** (662) 377-1065
- **Mailing address:** 808 VARSITY DR, TUPELO, MS 38801-4613
- **Mailing address phone:** (662) 377-2386
- **Mailing address fax:** (662) 377-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 01/21/2025