Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Pulmonary Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, 4TH FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7150
(662) 377-7155
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08202571
—
MS
05
—
09014876
—
MS
Enumeration date
08/31/2006
Last updated
03/03/2008
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