University of Tennesse

NPI #1699987115 in Southaven, Mississippi

Provider Information

NPI Number
1699987115
Entity Type
Organization
Organization Name
University of Tennesse
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 4, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
1164 WARWICK PL
ZIP Code
38671-9477
Phone
(662) 563-4616

Authorized Official

Name
DR. ROMERO KEITH MIDGETT, M.D.
Title
MEDICAL DOCTOR OB-GYN
Phone
(662) 536-1646

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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