NPI 1285072058
East Main Family Medical Clinic LLC
Practice location
- Address
- 1424 E Main St, Tupelo, MS 38804-2956
- Phone
- (662) 842-4877
Authorised official
- Name
- Rodney Rodgers
- Title
- Owner/Nurse Practitioner
- Phone
- (662) 350-3550
Registered specialties
Nurse Practitioner
Primary
Registry record
- NPI
- 1285072058
- Entity type
- Organization
- NPI issued
- 13 Jun 2013
- Record last updated
- 8 Sep 2020
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.