NPI 1033155783

Baptist Memorial Hospital Desoto

Organisation Athletic Trainer Southaven, MS

Practice location

Address: 7601 Southcrest Pkwy, Southaven, MS 38671-4739
Phone: (662) 349-4000
Mailing address: 350 N Humphreys Blvd, Memphis, TN 38120-2177

Authorised official

Name: Gregory M Duckett
Title: Sr Vp/ Clo
Phone: (901) 227-5233

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0300 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1033155783
Entity type: Organization
NPI issued: 21 Jun 2006
Record last updated: 1 Oct 2020

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.