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NPI 1992638944

NPI 1992638944 : ALTIX MEDICAL MS P.C. : TUPELO, MS

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General NPI Number Information
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    NPI Number           |    1992638944
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTIX MEDICAL MS P.C. 
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Dates
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    Enumeration Date     |    06/08/2026
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    Last Update Date     |    06/08/2026
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Provider Practice Location Address
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    Address Line         |    304 S BROADWAY ST STE 1 
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    City                 |    TUPELO
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    State                |    MS
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    Zip                  |    38804-4808
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    Country              |    US
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    Telephone            |    239-842-6320
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    Fax                  |    645-239-2089
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Provider Business Mailing Address
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    Address Line         |    301 ALMERIA AVE STE 240 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-5822
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    Country              |    US
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    Telephone            |    239-842-6320
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    Fax                  |    645-239-2089
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ERIC STEWART BRITTAIN 
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    Credential           |    MD
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    Telephone            |    239-842-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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