Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Other names
North Mississippi Urology
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
100 WILBURN WAY STE A, STARKVILLE, MS 39759-3692
(662) 498-1400
(662) 498-1407
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009452018
—
MS
01
—
355782
MEDICARE
MS
Enumeration date
05/06/2020
Last updated
01/20/2025
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