| Ima Tupelo | |
|
845 S Madison St Tupelo MS 38801-4905 | |
| (662) 377-5930 | |
| (662) 377-5085 |
| Full Name | Ima Tupelo |
|---|---|
| Speciality | Internal Medicine |
| Location | 845 S Madison St, Tupelo, Mississippi |
| Authorized Official Name and Position | Gerald Kimbrough (MANAGER) |
| Authorized Official Contact | 6623774685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ima Tupelo 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Ima Tupelo 845 S Madison St Tupelo MS 38801-4905 Ph: (662) 377-5930 |
| NPI Number | 1437254836 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437254836 | NPI | - | NPPES |
| 529902070 | Medicaid | AL | |
| 09014876 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
South Madison Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
Nmmc Ekg Interpretations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
North Mississippi Neurosurgical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720 | |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 | |
Advanced Wound Center Professionals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, 1st Floor East Tower, Tupelo, MS 38801 Phone: 662-377-2395 Fax: 662-377-2397 |