NPI 1104980432

Dermatology Clinic of North Mississippi, P.L.L.C.

Organisation Dermatology Physician Southaven, MS

Practice location

Address: 7585 Claringto Cove, Southaven, MS 38671-5834
Phone: (662) 349-0200
Fax: (662) 349-1666
Mailing address: 7585 Clarington Cv, Southaven, MS 38671-5656

Authorised official

Name: Terri H. Henson
Title: Managing Member
Phone: (662) 349-0200

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 16501 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1104980432
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 7 Jan 2021

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.