NPI 1003869520

Mid-South Anesthesia Consultants, PLLC

Organisation Specialist Southaven, MS

Practice location

Address: 7601 Southcrest Pkwy, Southaven, MS 38671-4739
Phone: (334) 386-2053
Fax: (334) 244-1830
Mailing address: PO Box 235022, Montgomery, AL 36123-5022

Authorised official

Name: Terrie L. Carleton
Title: Account Manager
Phone: (334) 386-2053

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1003869520
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 9 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.