MR. Timothy M. South, FNP
NPI #1376506741 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1376506741
- Entity Type
- Individual
- Name
- MR. Timothy M. South, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Apr 7, 2006
- Last Updated
- Oct 1, 2012
Practice Location
- Address
- 332 HIGHWAY 12 W
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3209
- Phone
- (662) 289-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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