Organization
ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOUTHWORTH MD (MD)
(662) 377-2663
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
(662) 840-5856
Mailing address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
(662) 840-5856
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016127
—
MS
Enumeration date
01/25/2006
Last updated
12/09/2021
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