Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Other names
Physical Medicine Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-6610
(662) 377-6614
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3240
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004805315
—
MS
01
—
C03168
MEDICARE GROUP NUMBER
MS
Enumeration date
09/12/2006
Last updated
01/22/2025
Update your record
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