Organization
MISSISSIPPI INPATIENT MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALBOT G MCCORMICK III MD (PRESIDENT)
(678) 441-8500
Entity
Organization
Contact information
Practice address
965 AVENT DR, GRENADA, MS 38901-5045
(662) 227-6426
(662) 227-7541
Mailing address
PO BOX 52007, ATLANTA, GA 30355-0007
(678) 441-8500
(678) 397-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
05/23/2011
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