Organization
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Active
Parent organization
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Authorized official
KAREN GIBSON (CREDENTIALING SPECIALIST)
(662) 767-4200
Entity
Organization
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 767-4200
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
05/25/2023
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