Organization
NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Active
Other names
Diabetes Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
410 COUNCIL CIR, TUPELO, MS 38801-4938
(662) 377-2500
(662) 377-2069
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2386
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000911
—
MS
Enumeration date
08/23/2022
Last updated
01/22/2025
Update your record
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