NPI 1063639185

The Wren Clinic, PC

Organisation Dermatology Physician Tupelo, MS

Practice location

Address: 874 Barnes Crossing Rd, Tupelo, MS 38804-0909
Phone: (662) 891-2999
Fax: (662) 286-0106
Mailing address: PO Box 1530 Dept 185, Southaven, MS 38671-1530

Authorised official

Name: Charles M. Wren
Title: President
Phone: (662) 891-2999

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 14798 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1063639185
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 17 Jan 2013

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.