NPI 1063162469
Specialty Orthopedic Group of Mississippi PLLC
Practice location
- Address
- 107 Eureka St, Batesville, MS 38606-2533
- Phone
- (662) 767-4200
- Mailing address
- 1211 S Gloster St STE a, Tupelo, MS 38801-6548
Authorised official
- Name
- Karen Gibson
- Title
- Credentialing Specialist
- Phone
- (662) 767-4200
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1063162469
- Entity type
- Organization
- NPI issued
- 28 Mar 2022
- Record last updated
- 25 May 2023
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.