Organization
CARDIOTHORACIC SURGERY CLINIC OF NORTH MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S TALTON MD (PRESIDENT)
(662) 377-7170
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Mailing address
PO BOX 7062, TUPELO, MS 38802-7062
(662) 377-7170
(662) 377-2423
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09019082
—
MS
Enumeration date
05/03/2007
Last updated
08/22/2020
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