| Specialty Orthopedic Group Of Mississippi Pllc | |
|
910 Mary Vance Dr Tupelo MS 38801-6226 | |
| (662) 767-4200 | |
| (662) 432-1613 |
| Full Name | Specialty Orthopedic Group Of Mississippi Pllc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 910 Mary Vance Dr, Tupelo, Mississippi |
| Authorized Official Name and Position | Karen Gibson (ADMIN ASST/ CREDENTIALING) |
| Authorized Official Contact | 6627674200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Orthopedic Group Of Mississippi Pllc 1211 S Gloster St Ste A Tupelo MS 38801-6548 Ph: (662) 767-4200 | Specialty Orthopedic Group Of Mississippi Pllc 910 Mary Vance Dr Tupelo MS 38801-6226 Ph: (662) 767-4200 |
| NPI Number | 1508561978 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508561978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (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 |