| 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 | () | Primary |
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