Southaven Internal Medicine, P.c.
NPI #1932259355 in Southaven, Mississippi
Provider Information
- NPI Number
- 1932259355
- Entity Type
- Organization
- Organization Name
- Southaven Internal Medicine, P.c.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jun 17, 2010
Practice Location
- Address
- 7680 AIRWAYS BLVD
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-5304
- Phone
- (662) 349-1999
Authorized Official
- Name
- KANDIS P SLEDGE
- Title
- OFFICE MANAGER
- Phone
- (662) 349-1999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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