Organization
NORTH MISSISSIPPI GILMORE CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1107 EARL FRYE BLVD STE 6, AMORY, MS 38821-5519
(662) 256-9327
(662) 257-5439
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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