Midsouth Integrative Medical, INC
NPI #1568089993 in Southaven, Mississippi
Provider Information
- NPI Number
- 1568089993
- Entity Type
- Organization
- Organization Name
- Midsouth Integrative Medical, INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 1, 2020
- Last Updated
- Mar 19, 2025
Practice Location
- Address
- 7651 TCHULAHOMA RD
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9227
- Phone
- (662) 349-0980
Authorized Official
- Name
- MEAGAN CHASTANT-QUALLS, FNP
- Title
- NURSE PRACTITIONER
- Phone
- (662) 349-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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