# JOSEPH J. CHAPPELL, JR., M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tupelo Eye Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447468368
- **Authorized official:** TEMESHA TOLIVER BS, MBA (OFFICE MANAGER)
- **Authorized official phone:** (662) 844-7211

## Contact information

- **Practice address:** 610 BRUNSON DR, TUPELO, MS 38801-4947
- **Practice address phone:** (662) 844-7211
- **Mailing address:** 610 BRUNSON DR, TUPELO, MS 38801-4947
- **Mailing address phone:** (662) 844-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 698 | MS | — |
| 174400000X | Specialist | 12479 | MS | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 09/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001062 | — | MS |
| 05 | — | 00016336 | — | MS |
| 05 | — | 00111812 | — | MS |
