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Individual

DR. NEWT PARKS HARRISON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363
Mailing address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15992
MS
2086S0129X
Vascular Surgery Physician
Primary
15992
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126134
MS
Enumeration date
12/13/2005
Last updated
09/11/2025
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