Healthcare Provider Details

I. General information

NPI: 1982949046
Provider Name (Legal Business Name): NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2012
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 GARFIELD ST
TUPELO MS
38801-5749
US

IV. Provider business mailing address

808 GARFIELD ST
TUPELO MS
38801-5749
US

V. Phone/Fax

Practice location:
  • Phone: 662-377-5265
  • Fax: 662-377-5260
Mailing address:
  • Phone: 662-377-5265
  • Fax: 662-377-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRUCE TOPPIN
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 662-377-4229