Organization Name: | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
NPI Number: | 1033585328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH REPPERT (VICE PRESIDENT) |
Mailing Address: | 830 S Gloster St 4th Floor East Tower Tupelo |
State: | MS US |
Postal Code: | 388014934 |
Phone Number: | 6623777170 |
Fax Number: | 6623772423 |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |