Pontotoc Health Providers | |
450 E President Ave Tupelo MS 38801-5599 | |
(662) 377-4685 | |
(662) 377-2057 |
Full Name | Pontotoc Health Providers |
---|---|
Speciality | Family Medicine |
Location | 450 E President Ave, Tupelo, 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 |
---|---|
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 Number | 1033589163 |
---|---|
Provider Enumeration Date | 10/01/2015 |
Last Update Date | 10/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033589163 | NPI | - | NPPES |
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