Organization
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Active
Parent organization
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Authorized official
JENNY MILLS (CREDENTIALING SPECIALIST)
(662) 767-4200
Entity
Organization
Contact information
Practice address
118 HIGHWAY 12 W, STARKVILLE, MS 39759-3760
(662) 767-4200
(662) 767-4204
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(662) 767-4204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07200815
—
MS
Enumeration date
09/16/2020
Last updated
09/08/2025
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