Organization
TIPPAH COUNTY MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORTON TAYLOR (MD)
(662) 512-5656
Entity
Organization
Contact information
Practice address
111A HOSPITAL ST, RIPLEY, MS 38663-1337
(662) 512-5656
(662) 512-5622
Mailing address
PO BOX 4027, TUPELO, MS 38803-4027
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09012190
—
MS
Enumeration date
08/31/2006
Last updated
08/22/2020
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