Organization
ENDOSCOPY CENTER OF NORTH MISSISSIPPI,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MATERNA (DIRECTOR, CREDENTIALING)
(901) 377-8219
Entity
Organization
Contact information
Practice address
1206 OFFICE PARK DR, OXFORD, MS 38655-3597
(662) 236-1768
(662) 236-9898
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770518
—
MS
Enumeration date
08/03/2006
Last updated
02/03/2026
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