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125 Turner Park Dr Saltillo MS 38866-9214 | |
| (662) 869-2122 | |
| (662) 869-1367 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Turner Park Dr, Saltillo, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (MANAGER) |
| Authorized Official Contact | 6623774229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-2386 | 125 Turner Park Dr Saltillo MS 38866-9214 Ph: (662) 869-2122 |
| NPI Number | 1780786889 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780786889 | NPI | - | NPPES |
| 009013459 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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