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Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Pontotoc Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (CBO MANAGER)
(662) 489-7430
Entity
Organization
Contact information
Practice address
345 HIGHWAY 15 N, PONTOTOC, MS 38863-1105
(662) 489-7430
(662) 489-7938
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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