Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Diabetes Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
410 COUNCIL CIR, TUPELO, MS 38801-4938
(662) 377-2500
(662) 377-2069
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/08/2015
Last updated
04/07/2017
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