MEDICARE: NORTH MISSISSIPPI MEDICAL CLINICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588768667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH MISSISSIPPI MEDICAL CLINICS INC

Provider Business Mailing Address
First Line	:	808 VARSITY DR
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-4613
Country	:	US
Telephone Number	:	662-377-2774
Fax Number	:	662-377-2057

Provider Business Practice Location Address
First Line	:	3411 W MAIN ST
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-9413
Country	:	US
Telephone Number	:	662-844-9376
Fax Number	:	662-844-4326

Authorized Official
Title or Position	:	MANAGER
Name	:	BRUCE TOPPIN
Credential	:
Telephone Number	:	662-377-4229

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	01/20/2025

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Directions to “NORTH MISSISSIPPI MEDICAL CLINICS INC ” Practice Location

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