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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

NPI # 1558390443
LBN Legal business name TUPELO ANESTHESIA GROUP PA
Authorized official JOHN DOUGLAS - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 11/11/2010 - About 16 years ago
Identifiers
MS Medicaid 09013131
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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