NPI 1528150398

Desoto Family Medical Center

Organisation Family Medicine Physician Southaven, MS

Practice location

Address: 75 Physician Lane, Southaven, MS 38671
Phone: (662) 393-7722
Fax: (662) 393-7756

Authorised official

Name: Angel Burnette
Title: Financial Services Manager
Phone: (662) 280-6233

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1528150398
Entity type: Organization
NPI issued: 29 Sep 2006
Record last updated: 10 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.