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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESOTO PRIMARY CARE CLINIC, PLLC

Active Organization

DESOTO PRIMARY CARE CLINIC, PLLC is a Family Medicine organization located in OLIVE BRANCH, Mississippi. NPI 1477643732 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · OLIVE BRANCH, MS

Registration Details

NPI Number
1477643732
Provider Type
Organization
NPI Issued
Oct 14, 2006 (19.836048629008 yrs)
Last Updated
Aug 22, 2020
License
18277 (MS)

Practice Information

Address
6942 AUTUMN OAKS DR
OLIVE BRANCH, MS, 386549379
Browse MS providers · Browse ZIP 38654
Phone
9015179171
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in OLIVE BRANCH, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.