| NPI | 1518143692 |
|---|---|
| Doing Business As | MID-SOUTH ACT |
| Entity Type | Organization |
| Authorized Contact | LAVONNIE PERRY-CLAYBON Director 901-678-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |