| North Mississippi Faculty Practice | |
|
1665 S Green St Tupelo MS 38804-6556 | |
| (662) 377-2189 | |
| (662) 377-2263 |
| Full Name | North Mississippi Faculty Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1665 S Green St, Tupelo, Mississippi |
| Authorized Official Name and Position | Gerald Kimbrough (DIRECTOR) |
| Authorized Official Contact | 6623774685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mississippi Faculty Practice 1665 S Green St Tupelo MS 38804-6556 Ph: (662) 377-2189 | North Mississippi Faculty Practice 1665 S Green St Tupelo MS 38804-6556 Ph: (662) 377-2189 |
| NPI Number | 1912268590 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912268590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
North Mississippi Medical Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-5290 Fax: 662-377-5291 | |
North Mississippi Medical Center Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-2386 Fax: 662-377-2057 | |
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |
North Mississippi Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St Fl 4, Tupelo, MS 38801 Phone: 662-377-2395 Fax: 662-377-2397 | |
North Mississippi Medical Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263 |