Provider Demographics
NPI:1467467811
Name:CORINTH MEDICAL SPECIALISTS
Entity Type:Organization
Organization Name:CORINTH MEDICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-665-9111
Mailing Address - Street 1:3301 TININ DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9054
Mailing Address - Country:US
Mailing Address - Phone:662-665-9111
Mailing Address - Fax:662-665-9118
Practice Address - Street 1:3301 TININ DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9054
Practice Address - Country:US
Practice Address - Phone:662-665-9111
Practice Address - Fax:662-665-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015350Medicaid
MS09015350Medicaid