NPI 1407969843

Daniel B Fore, MD

Practitioner Surgery Physician Southaven, MS

Practice location

Address: 401 Southcrest Cir Suite 210, Southaven, MS 38671-6726
Phone: (662) 536-1944
Fax: (662) 536-1947
Mailing address: 965 Ridge Lake Blvd STE 103, Memphis, TN 38120-9446

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 19431 (MS)

Other Surgery providers in Mississippi →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 44480 (TN)

Registry record

NPI: 1407969843
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2006
Record last updated: 15 Jun 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.