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NPI 1346970183

OrganizationActive

Athletico, Ltd

NPI 1346970183 · Clinic/Center · Tupelo, MS

Provider details

NPI number: 1346970183
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Juana Granados, Credentialing Manager

Practice location

499 Gloster Creek Vlg Ste F5

Tupelo, MS 38801-4631

Phone: (662) 841-0551

Fax: (662) 841-0554

More MS providers

Mailing address

2122 York Rd Ste 300

Oak Brook, IL 60523-1925

Registry dates

Enumerated: 2022-06-14
Last updated: 2022-06-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Athletico, Ltd — NPI 1346970183, Tupelo, MS | NPI Central