Tupelo Medical Group, Llc in Tupelo - Internal Medicine
Tupelo Medical Group, Llc - NPI 1396783916
Tupelo Medical Group, Llc is a Internal Medicine in Tupelo, Mississippi. Tupelo Medical Group, Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tupelo Medical Group, Llc is 1396783916. The last update date is 2011-12-12.
Tupelo Medical Group, Llc's current location address is 1265 Cliff Gookin Boulevard, Tupelo, Mississippi. You can contact this provider via phone number 6628402131 and fax number 6628402522. The mailing address for Tupelo Medical Group, Llc is 1265 Cliff Gookin Boulevard, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tupelo Medical Group, Llc |
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Address | 1265 Cliff Gookin Boulevard, Tupelo, Mississippi |
Phone Number | 6628402131 |
Fax Number | 6628402522 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VICE PRESI |
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Authorized Official Name | Loden D. Julian |
Credentials | M.D. |
Telephone Number | 6624072528 |
NPI Number Detail
NPI Number | 1396783916 |
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Provider Enumeration Date | 2006-06-04 |
Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
Address | 1265 Cliff Gookin Boulevard |
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City | Tupelo |
State | Mississippi (MS) |
Post Code | 388016749 |
Phone Number | 6628402131 |
Fax Number | 6628402522 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9015601 | MS | -- |
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What is the Tupelo Medical Group, Llc's unique identification number?
The Tupelo Medical Group, Llc has been assigned the NPI (National Provider Identifier) Number 1396783916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tupelo Medical Group, Llc located?
The Tupelo Medical Group, Llc is located at 1265 Cliff Gookin Boulevard, Tupelo, MS 388016749.
What is Tupelo Medical Group, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tupelo Medical Group, Llc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When was the Tupelo Medical Group, Llc's 1396783916 issued?
The Tupelo Medical Group, Llc's 1396783916 was issued on 2006-06-04.
As of what date was the information regarding Tupelo Medical Group, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tupelo Medical Group, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-12.
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