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Contact Information

STEPHEN R SOUTHWORTH, MD
499 GLOSTER CREEK VLG STE G1
TUPELO, MS38801-4751
 Phone: 662-377-2663
 Fax: 662-377-6706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEPHEN R SOUTHWORTH · (Male)

NPI Number 1437120730
Status Active
Credentials MD
Entity Individual
Enumeration date 01/27/2006
Last updated 01/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 16972
  • MS Medicaid 00123102
Hospital affiliation(s)
  • NORTH MISSISSIPPI MEDICAL CENTER - (Acute Care)
    830 S GLOSTER
    TUPELO, MS 38801
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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