Organization · Type 2 NPI

Mississippi State University

Family Medicine Physician · Mississippi State, MS

NPI number 1356208367 Active

Practice location

195 Lee Blvd
Mississippi State, MS 39762-9698

Fax (662) 325-8888

Mailing address

PO Box 6338
Mississippi State, MS 39762-6338

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

About NPI 1356208367

Mississippi State University's National Provider Identifier is 1356208367, issued on Jan 9, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mississippi State, MS. The record was last updated on Jan 9, 2026.