Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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