SearchMississippi207Q00000X

Kelly Tullos, M.D

NPI 1508125576 · on the registry since 2012

Practice

Address
1440 Jefferson St
Laurel, MS 39440
Phone
(601) 428-0577
Fax
(601) 426-9854
Organisation at this address
South Central Clinics, Inc
South Central Clinics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
2083B0002X
390200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi