Organization
NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Active
Parent organization
NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Other names
South Madison Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1040A S. MADISON ST, TUPELO, MS 38801-6300
(662) 377-5290
(662) 377-5291
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2774
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008107009
—
MS
Enumeration date
09/10/2012
Last updated
01/21/2025
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