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
- City
- Horn Lake
- State
- Mississippi
- 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 Care — Primary Care |
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