Organization
NORTH MISSISSIPPI MEDICAL CLINIC INC
Active
Other names
Marion Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
1200 MILITARY STREET SOUTH, HAMILTON, AL 35570
(205) 921-7602
(205) 921-7928
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015454
—
MS
Enumeration date
09/01/2006
Last updated
09/11/2025
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