Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER
Other names
NMMC - CRNA Anesthesia Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13-063
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003800047
—
MS
05
—
529927730
—
AL
Enumeration date
09/11/2006
Last updated
01/22/2025
Update your record
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