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

Heritage Obstetrics & Gynecolgy Clinic of Nm PA

Organization Specialist · NPI 1407867807

Heritage Obstetrics & Gynecolgy Clinic of Nm PA is a Specialist 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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