| Tishomingo Regional Providers | |
|
465 2nd Street Belmont MS 38827-0000 | |
| (662) 377-4685 | |
| Not Available |
| Full Name | Tishomingo Regional Providers |
|---|---|
| Speciality | Family Medicine |
| Location | 465 2nd Street, Belmont, Mississippi |
| Authorized Official Name and Position | Joseph Reppert (VP/CFO) |
| Authorized Official Contact | 6623773978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tishomingo Regional Providers 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Tishomingo Regional Providers 465 2nd Street Belmont MS 38827-0000 Ph: (662) 377-4685 |
| NPI Number | 1528424728 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528424728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19791 (Mississippi) | Primary |
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