Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trace Medical Clinic

Organization Family Medicine Physician · NPI 1033383815

Trace Medical Clinic provides Family Medicine Physician services in Kosciusko, Mississippi. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

530 Veterans Memorial Dr
Kosciusko, MS 39090-3858 Not confirmed with CMS for 18 years — call before visiting
Phone: (662) 289-9155
Fax: (662) 289-7752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1033383815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Bryant — President/Owner · (662) 289-9155
NPI enumeratedApril 14, 2008
Last updated in NPPESMay 27, 2008
Mailing address530 Veterans Memorial Dr, Kosciusko, MS 39090-3858

Other providers in Kosciusko