Healthcare Provider Details

I. General information

NPI: 1992759435
Provider Name (Legal Business Name): NORTH MISSISSIPPI BAROMEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S GLOSTER ST
TUPELO MS
38801-4934
US

IV. Provider business mailing address

PO BOX 2545
TUPELO MS
38803-2545
US

V. Phone/Fax

Practice location:
  • Phone: 662-620-8123
  • Fax:
Mailing address:
  • Phone: 866-754-3852
  • Fax: 866-754-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BUFORD L LAMBERT
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 662-620-8123