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3302 W Linden St Ste B Corinth MS 38834-9119 | |
| (662) 331-1956 | |
| (662) 331-1962 |
| Full Name | |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 3302 W Linden St Ste B, Corinth, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623774229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
808 Varsity Dr Tupelo MS 38801-4613 Ph: () - | 3302 W Linden St Ste B Corinth MS 38834-9119 Ph: (662) 331-1956 |
| NPI Number | 1740957216 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957216 | NPI | - | NPPES |
| 009105250 | Medicaid | MS |
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