| North Mississippi Endocrine Center | |
|
65 S Thomas St Tupelo MS 38801-4352 | |
| (662) 842-7870 | |
| (662) 842-7873 |
| Full Name | North Mississippi Endocrine Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 S Thomas St, Tupelo, Mississippi |
| Authorized Official Name and Position | Christy Oswalt (MD/OWNER) |
| Authorized Official Contact | 6628427870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mississippi Endocrine Center 65 S Thomas St Tupelo MS 38801-4352 Ph: (662) 842-7870 | North Mississippi Endocrine Center 65 S Thomas St Tupelo MS 38801-4352 Ph: (662) 842-7870 |
| NPI Number | 1326274739 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Medicare PECOS PAC ID | 1759436298 |
|---|---|
| Medicare Enrollment ID | O20090904000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326274739 | NPI | - | NPPES |
| 04971328 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 19214 (Mississippi) | Primary |
| Provider Name | Christy T Oswalt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053474577 PECOS PAC ID: 0547334955 Enrollment ID: I20080804000163 |
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