Provider Demographics
NPI:1376591651
Name:THE CONTINENCE
Entity Type:Organization
Organization Name:THE CONTINENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-377-7100
Mailing Address - Street 1:830 S GLOSTER 4TH FLOOR E TOWER
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38802
Mailing Address - Country:US
Mailing Address - Phone:662-377-7100
Mailing Address - Fax:662-377-5736
Practice Address - Street 1:830 S GLOSTER 4TH FLOOR E TOWER
Practice Address - Street 2:SUITE 2
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38802
Practice Address - Country:US
Practice Address - Phone:662-377-7100
Practice Address - Fax:662-377-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20800000X208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC03458Medicare ID - Type Unspecified