Baptist Memorial Hospital Desoto
NPI #1033155783 in Southaven, Mississippi
Provider Information
- NPI Number
- 1033155783
- Entity Type
- Organization
- Organization Name
- Baptist Memorial Hospital Desoto
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BAPTIST MEMORIAL HEALTH CARE CORP.
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 7601 SOUTHCREST PKWY
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-4739
- Phone
- (662) 349-4000
Authorized Official
- Name
- MR. GREGORY M DUCKETT
- Title
- SR VP/ CLO
- Phone
- (901) 227-5233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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