| Amory Specialty Clinic | |
|
1107 Earl Frye Blvd Ste 6 Amory MS 38821-5519 | |
| (662) 256-9327 | |
| (662) 256-3214 |
| Full Name | Amory Specialty Clinic |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1107 Earl Frye Blvd Ste 6, Amory, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623774229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amory Specialty Clinic 808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-2774 | Amory Specialty Clinic 1107 Earl Frye Blvd Ste 6 Amory MS 38821-5519 Ph: (662) 256-9327 |
| NPI Number | 1295461390 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295461390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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