Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Calhoun County Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
112 MEDICAL ARTS DR, CALHOUN CITY, MS 38916-9721
(662) 628-1337
(662) 628-1346
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08109024
—
MS
Enumeration date
08/30/2006
Last updated
08/22/2020
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