Organization
CHILDREN'S CLINIC OF TUPELO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN SHEFFIELD (OWNER/DOCTOR)
(662) 842-6088
Entity
Organization
Contact information
Practice address
458 E PRESIDENT AVE, TUPELO, MS 38801-5515
(662) 842-6088
(662) 842-3229
Mailing address
458 E PRESIDENT AVE, TUPELO, MS 38801-5515
(662) 842-6088
(662) 842-3229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782773
—
MS
Enumeration date
04/13/2006
Last updated
08/22/2020
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