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40023 Cross Creek Dr Hamilton MS 39746-8801 | |
(662) 343-5299 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 40023 Cross Creek Dr, Hamilton, Mississippi |
Authorized Official Name and Position | Bruce Toppin (SECRETARY) |
Authorized Official Contact | 6623774229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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808 Varsity Dr Tupelo MS 38801-4613 Ph: () - | 40023 Cross Creek Dr Hamilton MS 39746-8801 Ph: (662) 343-5299 |
NPI Number | 1851855167 |
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Provider Enumeration Date | 01/31/2019 |
Last Update Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851855167 | NPI | - | NPPES |
006407708 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |