NPI 1407867807

Heritage Obstetrics & Gynecolgy Clinic of Nm PA

Organisation Specialist Tupelo, MS

Practice location

Address: 606 Brunson Dr, Tupelo, MS 38801-4947
Phone: (662) 840-4010
Fax: (662) 840-9038

Authorised official

Name: Gregg a Willis
Title: President
Phone: (662) 840-4010

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 207V00000X (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1407867807
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 22 Aug 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.