Newsom Healthcare of Desoto County, LLC

NPI #1205243649 in Horn Lake, Mississippi

Provider Information

NPI Number
1205243649
Entity Type
Organization
Organization Name
Newsom Healthcare of Desoto County, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 17, 2014
Last Updated
Jul 22, 2014

Practice Location

Address
2906 GOODMAN RD W
Address 2
SUITE 109
ZIP Code
38637-1291
Phone
(662) 393-8022

Authorized Official

Name
MRS. SANDRA MATTHEWS NEWSOM, FNP
Title
OWNER/PRESIDENT
Phone
(662) 393-8022

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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