NPI 1346036977

Mid-South Direct Primary Care

Organisation Primary Care Clinic/Center Petal, MS

Practice location

Address: 1229 Ms-42 Suite 270, Petal, MS 39465
Phone: (769) 223-9503
Fax: (601) 336-4925

Authorised official

Name: Ashlee Hendry
Title: D.O./Administrator
Phone: (769) 223-9503

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1346036977
Entity type: Organization
NPI issued: 18 Apr 2025
Record last updated: 18 Apr 2025

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.