Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Cardiothoracic Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, 3RD FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Mailing address
830 S GLOSTER ST, 3RD FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02394
MEDICARE GROUP
MS
Enumeration date
12/10/2009
Last updated
06/02/2014
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