NPI 1780788711
North Mississippi Medical Clinics
Practice location
- Address
- 4381 S Eason Blvd STE 302, Tupelo, MS 38801-6584
- Phone
- (662) 377-5700
- Fax
- (662) 377-5720
- Mailing address
- 450 E President Ave, Tupelo, MS 38801-5599
Authorised official
- Name
- Gerald Kimbrough
- Title
- Manager
- Phone
- (662) 377-4685
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1780788711
- Entity type
- Organization
- NPI issued
- 11 Sep 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.