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
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