Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Other names
Advanced Wound Center Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST FL 4, TUPELO, MS 38801-4934
(662) 377-2395
(662) 377-2397
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009324007
—
MS
Enumeration date
04/28/2010
Last updated
01/21/2025
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