| Desoto Adult Medicine Associates, Pllc | |
|
7900 Ariways Blvd Bldg C Suite 1 Southaven MS 38671-4113 | |
| (662) 349-2377 | |
| (662) 349-4347 |
| Full Name | Desoto Adult Medicine Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7900 Ariways Blvd, Southaven, Mississippi |
| Authorized Official Name and Position | Charles E Brown (OWNER) |
| Authorized Official Contact | 6623492377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Adult Medicine Associates, Pllc P O Box 1000 Dept 160 Memphis TN 38148-0001 Ph: (662) 349-2377 | Desoto Adult Medicine Associates, Pllc 7900 Ariways Blvd Bldg C Suite 1 Southaven MS 38671-4113 Ph: (662) 349-2377 |
| NPI Number | 1952809014 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952809014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15817 (Mississippi) | Primary |
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