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Organization

ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC

Active
Parent organization
ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC
Authorized official
STEPHEN ROBERT SOUTHWORTH MD (PARTNER)
(662) 377-2663
Entity
Organization

Contact information

Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 377-2663
Mailing address
499 S GLOSTER ST # G1, TUPELO, MS 38801-5539
(662) 503-3932

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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