Organization
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC
Active
Parent organization
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC
Other names
Family Medicine Residency Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
(662) 377-2263
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2189
(662) 377-2263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003684837
—
MS
Enumeration date
06/05/2012
Last updated
01/21/2025
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