Organization
NORTH EAST ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PILLOW M.D. (PRESIDENT)
(662) 377-6700
Entity
Organization
Contact information
Practice address
4381 S EASON BLVD, SUITE 102, TUPELO, MS 38801-6586
(662) 377-6700
(662) 377-6706
Mailing address
4381 S EASON BLVD, SUITE 102, TUPELO, MS 38801-6583
(662) 377-6700
(662) 377-6706
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13958
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02629297
—
MS
Enumeration date
10/10/2006
Last updated
12/28/2010
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