Organization
MCCOMB CHILDREN'S CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK E TARPY M.D., F.A.A.P. (VICE PRESIDENT)
(601) 684-7623
Entity
Organization
Contact information
Practice address
300 RAWLS DR STE 100, MCCOMB, MS 39648-2852
(601) 684-7623
(601) 684-7247
Mailing address
300 RAWLS DR STE 100, MCCOMB, MS 39648-2852
(601) 684-7623
(601) 684-7247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011311
—
MS
Enumeration date
11/19/2005
Last updated
09/14/2011
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