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4381 S Eason Blvd Suite 302 Tupelo MS 38801-6583 | |
(662) 377-5700 | |
(662) 377-5720 |
Full Name | |
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Speciality | Neurological Surgery |
Location | 4381 S Eason Blvd, Tupelo, 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 |
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808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-2386 | 4381 S Eason Blvd Suite 302 Tupelo MS 38801-6583 Ph: (662) 377-5700 |
NPI Number | 1013385715 |
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Provider Enumeration Date | 09/11/2015 |
Last Update Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013385715 | NPI | - | NPPES |
005979574 | Medicaid | MS |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-2386 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: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |