| Advanced Wound Center Professionals | |
|
830 S Gloster St 1st Floor East Tower Tupelo MS 38801-4934 | |
| (662) 377-2395 | |
| (662) 377-2397 |
| Full Name | Advanced Wound Center Professionals |
|---|---|
| Speciality | Family Medicine |
| Location | 830 S Gloster St, Tupelo, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Center Professionals 830 S Gloster St 1st Floor East Tower Tupelo MS 38801-4934 Ph: (662) 377-2395 | Advanced Wound Center Professionals 830 S Gloster St 1st Floor East Tower Tupelo MS 38801-4934 Ph: (662) 377-2395 |
| NPI Number | 1063739290 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063739290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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