DESOTO PRIMARY CARE CLINIC, PLLC

OLIVE BRANCH, MS
NPI1477643732
Entity TypeOrganization
Authorized ContactLAJU A. KUMAR
Sole Owner
901-517-9171
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  18277)
Enumeration Date2006-10-14
Last Update Date2020-08-22
Business Address
DESOTO PRIMARY CARE CLINIC, PLLC
6942 AUTUMN OAKS DR
OLIVE BRANCH, MS 38654-9379
Phone number: 901-517-9171
Mailing Address
DESOTO PRIMARY CARE CLINIC, PLLC
6942 AUTUMN OAKS DR
OLIVE BRANCH, MS 38654-9379
Phone number: 901-517-9171
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