# TIPPAH COUNTY MEDICAL GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376654806
- **Authorized official:** HORTON TAYLOR (MD)
- **Authorized official phone:** (662) 512-5656

## Contact information

- **Practice address:** 111A HOSPITAL ST, RIPLEY, MS 38663-1337
- **Practice address phone:** (662) 512-5656
- **Practice address fax:** (662) 512-5622
- **Mailing address:** PO BOX 4027, TUPELO, MS 38803-4027
- **Mailing address phone:** (662) 377-4685
- **Mailing address fax:** (662) 377-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020