Tupelo Medical Group, LLC
NPI #1396783916 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1396783916
- Entity Type
- Organization
- Organization Name
- Tupelo Medical Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Dec 12, 2011
Practice Location
- Address
- 1265 CLIFF GOOKIN BOULEVARD
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6749
- Phone
- (662) 840-2131
Authorized Official
- Name
- DR. JULIAN D. LODEN, M.D.
- Title
- VICE PRESIDENT
- Phone
- (662) 407-2528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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