# NORTH MISSISSIPPI MEDICAL CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pontotoc Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548297021
- **Authorized official:** GERALD KIMBROUGH (CBO MANAGER)
- **Authorized official phone:** (662) 489-7430

## Contact information

- **Practice address:** 345 HIGHWAY 15 N, PONTOTOC, MS 38863-1105
- **Practice address phone:** (662) 489-7430
- **Practice address fax:** (662) 489-7938
- **Mailing address:** 450 E PRESIDENT AVE, TUPELO, MS 38801-5599
- **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:** 06/28/2006
- **Last updated:** 08/22/2020