Organization
TUPELO PATHOLOGY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HUFFMAN M.D. (PRESIDENT)
(662) 620-1468
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, PATHOLOGY DEPT, TUPELO, MS 38801-4934
(662) 620-1468
(662) 844-8298
Mailing address
PO BOX 1507, TUPELO, MS 38802-1507
(662) 620-1468
(662) 844-8298
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015994
—
MS
Enumeration date
06/03/2006
Last updated
01/29/2010
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