AUBURN FAMILY MEDICAL CLINIC INC NPI 1871687749

NPI Information

AUBURN FAMILY MEDICAL CLINIC, INC is a family nurse practitioner in Tupelo, MS. AUBURN FAMILY MEDICAL CLINIC, INC NPI is 1871687749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

149 N EASON BLVD
TUPELO, MS
ZIP 38804
Phone: (662) 678-1050
Fax: (662) 678-1067

The provider's authorized official is Rhonda Leigh Cox .
The authorized official title is Office Manager and has the following contact phone number (662) 678-1050.

The CLIA number assigned to this NPI record is 25D0969132 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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