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Organization
NORTH MISSISSIPPI GILMORE CLINICS, LLC
Active
Organization
NORTH MISSISSIPPI GILMORE CLINICS, LLC
Active
Other names
Amory Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-3564
(662) 256-9051
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588128896
—
MS
Enumeration date
01/31/2019
Last updated
01/21/2025
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