Specialty Orthopedic Group Of Mississippi Pllc

LBN: Specialty Orthopedic Group Of Mississippi Pllc
Specialty Orthopedic Group Of Mississippi Pllc is an health care organization with primary practice located at 1211 S Gloster St Ste A , Tupelo MS 38801-6535. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Specialty Orthopedic Group Of Mississippi Pllc can be contacted via phone (662) 767-4200, or through Mills, Jenny via phone (662) 767-4200.

Contact Information

Primary practice address
1211 S Gloster St Ste A Tupelo MS 38801-6535
Phone: (662) 767-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mills, Jenny
Phone: (662) 767-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1639553506
LBN Legal business name Specialty Orthopedic Group Of Mississippi Pllc
DBA Doing business as
Authorized official Mills, Jenny
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2015
Last updated Jan 31st, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639553506 NPPES
Mississippi MEDICAID 07200815
Mississippi MEDICAID 04722052

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