Organization
NORTH MISSISSIPPI GILMORE CLINICS, LLC
Active
Other names
Amory Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
1107 EARL FRYE BLVD STE 5, AMORY, MS 38821-5519
(662) 257-6705
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009526887
—
MS
Enumeration date
01/31/2019
Last updated
01/21/2025
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