Healthcare Provider Details

I. General information

NPI: 1730615956
Provider Name (Legal Business Name): NORTH MISSISSIPPI MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2017
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 HIGHWAY 182 W
STARKVILLE MS
39759-9820
US

IV. Provider business mailing address

1205 HIGHWAY 182 W
STARKVILLE MS
39759-9820
US

V. Phone/Fax

Practice location:
  • Phone: 662-320-8545
  • Fax: 662-320-8981
Mailing address:
  • Phone: 662-320-8545
  • Fax: 662-320-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRUCE TOPPIN
Title or Position: SECRETARY
Credential:
Phone: 662-377-3000