Pontotoc Health Providers - Primary Care in Tupelo, MS

Pontotoc Health Providers is a primary clinic (Family Medicine) in Tupelo, Mississippi. The current practice location for Pontotoc Health Providers is 450 E President Ave, Tupelo, Mississippi. For appointments, you can reach them via phone at (662) 377-4685. The mailing address for Pontotoc Health Providers is 176 S Main St, Pontotoc, Mississippi and phone number is (662) 489-5510.

Pontotoc Health Providers is licensed to practice in * (Not Available) (license number ) and its NPI number is 1033589163. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 377-4685.

Contact Information

Pontotoc Health Providers
450 E President Ave
Tupelo
MS 38801-5599
(662) 377-4685
(662) 377-2057

Primary Care Clinic Profile

Full NamePontotoc Health Providers
SpecialityFamily Medicine
Location450 E President Ave, Tupelo, Mississippi
Authorized Official Name and PositionJoseph Reppert (VP/CFO)
Authorized Official Contact6623773978
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pontotoc Health Providers
176 S Main St
Pontotoc
MS 38863-3311

Ph: (662) 489-5510
Pontotoc Health Providers
450 E President Ave
Tupelo
MS 38801-5599

Ph: (662) 377-4685

NPI Details:

NPI Number1033589163
Provider Enumeration Date10/01/2015
Last Update Date10/01/2015

Medical Identifiers

Medical identifiers for Pontotoc Health Providers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033589163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

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Family Medicine in Tupelo, MS

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