Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Heritage Obstetrics & Gynecolgy Clinic of Nm PA

Organization Specialist · NPI 1407867807

Heritage Obstetrics & Gynecolgy Clinic of Nm PA provides Specialist services in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

606 Brunson Dr
Tupelo, MS 38801-4947
Phone: (662) 840-4010
Fax: (662) 840-9038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 207V00000X (MS)

Record details

NPI number1407867807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Willis — President · (662) 840-4010
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address606 Brunson Dr, Tupelo, MS 38801-4947

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