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1104980432
DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
SOUTHAVEN, MS
NPI
1104980432
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Entity Type
Organization
Authorized Contact
TERRI H. HENSON
Managing Member
662-349-0200
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MS 16501)
Enumeration Date
2006-12-21
Last Update Date
2021-01-07
Business Address
DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
7585 CLARINGTO COVE
SOUTHAVEN, MS 38671-5834
Phone number: 662-349-0200
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Mailing Address
DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
7585 CLARINGTON CV
SOUTHAVEN, MS 38671-5656
Phone number: 662-349-0200
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TERRI HAYES HENSON