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 is a Family Medicine Physician 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
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