# NORTH MISSISSIPPI GILMORE CLINICS, LLC

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

## Provider details

- **NPI number:** 1407311681
- **Authorized official:** BRUCE TOPPIN (SECRETARY)
- **Authorized official phone:** (662) 377-4229

## Contact information

- **Practice address:** 1107 EARL FRYE BLVD STE 6, AMORY, MS 38821-5519
- **Practice address phone:** (662) 256-9327
- **Practice address fax:** (662) 257-5439
- **Mailing address:** 808 VARSITY DR, TUPELO, MS 38801-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |

## Other

- **Enumeration date:** 02/01/2019
- **Last updated:** 02/01/2019