Westside Family Medical Clinic of Tupelo LLC
NPI #1427429992 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1427429992
- Entity Type
- Organization
- Organization Name
- Westside Family Medical Clinic of Tupelo LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Oct 9, 2015
- Last Updated
- Oct 9, 2015
Practice Location
- Address
- 65 S THOMAS ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4352
- Phone
- (813) 712-9638
Authorized Official
- Name
- NEIL VICKERS
- Title
- OWNER
- Phone
- (813) 712-9638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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