Organization
NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Active
Other names
NMMC Neurodevelopmental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
199 GRANDSTAND PLACE, STE. 101, TUPELO, MS 38804
(626) 377-7337
(662) 377-1399
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2386
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659767
—
MS
Enumeration date
04/04/2018
Last updated
01/21/2025
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