Desoto Adult Medicine Associates, PLLC
Internal Medicine in Southaven, MS. Organization (NPI-2).
NPI number1952809014
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1952809014
- Entity type
- Organization (NPI-2)
- Legal business name
- Desoto Adult Medicine Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2018
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 15817 | MS | Yes |
Practice location
7900 Ariways BlvdBldg C Suite 1
Southaven, MS 38671-4113
Phone 662-349-2377 · Fax 662-349-4347
Mailing address
P O Box 1000 Dept 160Memphis, TN 38148-0001
Phone 662-349-2377 · Fax 662-349-4347
Authorized official
Charles E Brown
Owner
6623492377
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