Organization
NORTH MISSISSIPPI GILMORE CLINICS, LLC
Active
Other names
Amory Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-3564
(662) 256-9051
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588128896
—
MS
Enumeration date
01/31/2019
Last updated
01/21/2025
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