NPI 1023589017
Surgery Clinic of Tupelo PA
Practice location
- Address
- 1256 Military St S, Hamilton, AL 35570-5003
- Phone
- (205) 921-6202
- Mailing address
- 499 Gloster Creek Vlg STE S1, Tupelo, MS 38801-4708
Authorised official
- Name
- Terecia Spain
- Title
- Clinic Administrator
- Phone
- (662) 377-6472
Registered specialties
Surgery Physician
Primary
Registry record
- NPI
- 1023589017
- Entity type
- Organization
- NPI issued
- 17 Dec 2018
- Record last updated
- 17 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.