Mid-South Rectal Clinic, Inc.

NPI #1316024193 in Bartlett, Tennessee

Provider Information

NPI Number: 1316024193
Entity Type: Organization
Organization Name: Mid-South Rectal Clinic, Inc.
Primary Specialty: Surgery
Enumeration Date: Nov 1, 2006
Last Updated: Feb 1, 2016

Practice Location

Address: 6563 STAGE OAKS DR
Address 2: SUITE 100
City: Bartlett
State: Tennessee
ZIP Code: 38134-2886
Phone: (901) 362-5252

Authorized Official

Name: DR. MICHAEL M. FOX, M.D.
Title: PROVIDER/OWNER
Phone: (901) 362-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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