Organization · Type 2 NPI

North Mississippi Medical Center Services, LLC

Vascular Surgery Physician · Tupelo, MS

NPI number 1104101575 Active

Practice location

607 Garfield St
Tupelo, MS 38801-6337

Fax (662) 377-8926

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

4 other providers at this address

Accent Plastic & Reconstructive SurgeryPlastic Surgery Physician Tupelo, MS NPI 1215048939
Sherry A. Martin Endocrine ClinicEndocrinology, Diabetes & Metabolism Physician Tupelo, MS NPI 1336140847
Lesley Ann GordonRegistered Nurse Tupelo, MS NPI 1487963054
Sherry Alcorn Martin, MDEndocrinology, Diabetes & Metabolism Physician Tupelo, MS NPI 1710988977

NPI record

NPI: 1104101575
Entity type: Organization (Type 2)
Issued: Oct 18, 2011
Last updated: Jan 20, 2025
Status: Active
Subpart: Yes of North Mississippi Medical Center Services, LLC

Other names

<unavail>
Vein Center · doing business as

Authorized official

Bruce Toppin
Corporate Secretary
(662) 377-4229

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104101575

North Mississippi Medical Center Services, LLC's National Provider Identifier is 1104101575, issued on Oct 18, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Tupelo, MS. The record was last updated on Jan 20, 2025.