| Tupelo Neurology Clinic | |
|
609 Brunson Dr Tupelo MS 38801-4948 | |
| (662) 844-7021 | |
| (662) 842-5207 |
| Full Name | Tupelo Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 609 Brunson Dr, Tupelo, Mississippi |
| Authorized Official Name and Position | W Thomas Oakes (PRESIDENT) |
| Authorized Official Contact | 6628447021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tupelo Neurology Clinic 609 Brunson Drive Tupelo MS 38801 Ph: (662) 844-7021 | Tupelo Neurology Clinic 609 Brunson Dr Tupelo MS 38801-4948 Ph: (662) 844-7021 |
| NPI Number | 1760581227 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760581227 | NPI | - | NPPES |
| 9012121 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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