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1194894147
MIDSOUTH MEDICINE
SOUTHAVEN, MS
NPI
1194894147
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Entity Type
Organization
Authorized Contact
CIAO ZHENG NEWMAN
President
662-342-1112
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 18647)
Enumeration Date
2006-11-06
Last Update Date
2023-04-12
Business Address
MIDSOUTH MEDICINE
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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Mailing Address
MIDSOUTH MEDICINE
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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