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Organization

THE WOMAN'S CLINIC OF TUPELO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA J CRECELIUS M.D. (OBGYN M.D.)
(662) 844-0867
Entity
Organization

Contact information

Practice address
1512 MEDICAL PARK CIR, TUPELO, MS 38801-6560
(662) 844-0867
(662) 844-7086
Mailing address
1512 MEDICAL PARK CIR, TUPELO, MS 38801-6560
(662) 844-0867
(662) 844-7086

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00019541
MS
05
00117464
MS
05
00126770
MS
Enumeration date
12/29/2005
Last updated
07/21/2022
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