Provider Demographics
NPI:1144651100
Name:RPG MEDICAL OF NORTH MISSISSIPPI LLC
Entity type:Organization
Organization Name:RPG MEDICAL OF NORTH MISSISSIPPI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CURRIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-841-7880
Mailing Address - Street 1:PO BOX 2064
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-2064
Mailing Address - Country:US
Mailing Address - Phone:662-821-1831
Mailing Address - Fax:662-821-1815
Practice Address - Street 1:320 S GLOSTER ST
Practice Address - Street 2:STE B2
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4748
Practice Address - Country:US
Practice Address - Phone:662-821-1831
Practice Address - Fax:662-821-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty