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

DESOTO FAMILY CARE CLINIC, PLLC

Active Organization

DESOTO FAMILY CARE CLINIC, PLLC is a Family Medicine organization located in SOUTHAVEN, Mississippi. NPI 1972028843 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTHAVEN, MS

Registration Details

NPI Number
1972028843
Provider Type
Organization
NPI Issued
Aug 11, 2017 (9.0060174690889 yrs)
Last Updated
Mar 10, 2023
License
901872 (MS)

Practice Information

Address
346 STATELINE RD W
SOUTHAVEN, MS, 386711610
Browse MS providers · Browse ZIP 38671
Phone
6625105353
Fax
6625100409
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in SOUTHAVEN, 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.