Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (DIRECTOR)
(662) 377-5201
Entity
Organization
Contact information
Practice address
1301 N 2ND ST, BOONEVILLE, MS 38829-1028
(662) 728-2071
Mailing address
1150 S GREEN ST, TUPELO, MS 38804-4901
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
901548
MS
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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