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

East Mississippi Community College

Organization General Practice Physician · NPI 1043780836

East Mississippi Community College is a General Practice Physician in Scooba, Mississippi. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1512 Kemper St
Scooba, MS 39358-7601
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1043780836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Emcc Sports Medicine
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 5, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995