Mississippi State University

NPI #1356208367 in Mississippi State, Mississippi

Provider Information

NPI Number: 1356208367
Entity Type: Organization
Organization Name: Mississippi State University
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2026
Last Updated: Jan 9, 2026

Practice Location

Address: 195 LEE BLVD
City: Mississippi State
State: Mississippi
ZIP Code: 39762-9698
Phone: (662) 325-5895

Authorized Official

Name: DANIEL TODD HALE
Title: DIRECTOR, FISCAL OPERATIONS, STUDEN
Phone: (662) 325-5895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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