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Contact Information

TUPELO ANESTHESIA GROUP PA
830 SOUTH GLOSTER
TUPELO, MS38801
 Phone: 662-377-4394
 Fax: 662-377-7045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TUPELO ANESTHESIA GROUP PA · (Female)

NPI Number 1558390443
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2006
Last updated 11/11/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 09013131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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