NPI 1033589163
Pontotoc Health Providers
Practice location
- Address
- 808 Varsity Dr, Tupelo, MS 38801-4613
- Phone
- (662) 377-2386
- Fax
- (662) 377-2057
- Mailing address
- 176 S Main St, Pontotoc, MS 38863-3311
Authorised official
- Name
- Bruce Toppin
- Title
- Corporate Secretary
- Phone
- (662) 377-4229
Registered specialties (3)
Family Medicine Physician
Primary
Internal Medicine Physician
Family Nurse Practitioner
Registry record
- NPI
- 1033589163
- Entity type
- Organization
- NPI issued
- 1 Oct 2015
- Record last updated
- 20 Jan 2025
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.