Pontotoc Health Providers
Family Medicine · Tupelo, MS
At a glance
808 Varsity Dr, Tupelo, MS 38801-4613
NPPES record updated Jan 20, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
808 Varsity DrTupelo, MS 38801-4613
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Medicine
- Taxonomy code
- 207Q00000X
- Enumeration date
- Oct 1, 2015
- Record updated
- Jan 20, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Family Medicine
207Q00000X · Primary
Internal Medicine
207R00000X
Family Nurse Practitioner
363LF0000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
808 Varsity DrTupelo, MS 38801-4613
- Phone
- (662) 377-2386
- Fax
- (662) 377-2057
Mailing address
176 S MAIN STPONTOTOC, MS 388633311
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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