Organization
NORTH MISSISSIPPI MEDICAL CLINICS, INC
Active
Other names
MedServe
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
844 S MADISON ST, TUPELO, MS 38801-4904
(662) 377-5400
(662) 377-5415
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2774
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009013936
—
MS
Enumeration date
07/10/2006
Last updated
01/21/2025
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