Organization
NORTH MISSISSIPPI VASCULAR CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A. NICHOLS M.D. (PRESIDENT)
(662) 842-2170
Entity
Organization
Contact information
Practice address
1040A S MADISON ST, TUPELO, MS 38801-6300
(662) 842-2170
(662) 842-2399
Mailing address
1040A S MADISON ST, TUPELO, MS 38801-6300
(662) 842-2170
(662) 842-2399
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
07430
MS
Other
Enumeration date
12/19/2007
Last updated
01/07/2008
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