Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Other names
Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD WAGES (COO)
(662) 377-3000
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4685
(662) 377-2755
Mailing address
PO BOX 4018, TUPELO, MS 38803-4018
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09420762
—
MS
01
—
C03168
MEDICARE GROUP NUMBER
MS
Enumeration date
09/28/2006
Last updated
08/03/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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