Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Hamilton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
1336 MILITARY ST S, HAMILTON, AL 35570-5005
(205) 921-3153
(205) 921-9990
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013594
—
MS
05
—
529200120
—
AL
Enumeration date
09/13/2006
Last updated
07/18/2008
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