Family Medicine Residency Center

LBN: North Mississippi Faculty Practice Plan Llc
Family Medicine Residency Center is an health care organization with primary practice located at 1665 S Green St , Tupelo MS 38804-6556. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. North Mississippi Faculty Practice Plan Llc can be contacted via phone (662) 377-2189, or through Kimbrough, Gerald via phone (662) 377-4685.

Contact Information

Primary practice address
1665 S Green St Tupelo MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2263
Website:
Map and Directions
Authorized official contact:
Name: Kimbrough, Gerald
Phone: (662) 377-4685

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255692356
LBN Legal business name North Mississippi Faculty Practice Plan Llc
DBA Doing business as Family Medicine Residency Center
Authorized official Kimbrough, Gerald
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2012
Last updated May 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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