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Organization

SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC

Active
Parent organization
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Authorized official
KAREN GIBSON (ADMIN ASST/ CREDENTIALING)
(662) 767-4200
Entity
Organization

Contact information

Practice address
910 MARY VANCE DR, TUPELO, MS 38801-6226
(662) 767-4200
(662) 432-1613
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
04/04/2023
Last updated
03/20/2025
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