# NORTH MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH MISSISSIPPI MEDICAL CENTER
- **Other names:** NMMC - CRNA Anesthesia Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730283896
- **Legal business name:** NORTH MISSISSIPPI MEDICAL CENTER
- **Authorized official:** BRUCE TOPPIN (CORPORATE SECRETARY)
- **Authorized official phone:** (662) 377-4229

## Contact information

- **Practice address:** 830 S GLOSTER ST, TUPELO, MS 38801-4934
- **Practice address phone:** (662) 377-3000
- **Mailing address:** 808 VARSITY DR, TUPELO, MS 38801-4613
- **Mailing address phone:** (662) 377-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 13-063 | MS | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 01/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003800047 | — | MS |
| 05 | — | 529927730 | — | AL |