INTERNAL MEDICINE GROUP OF THE MIDSOUTH PLLC

SOUTHAVEN, MS
NPI1609035468
Entity TypeOrganization
Authorized ContactAILEEN S GAYOSO
President
662-536-1520
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  15680)
Enumeration Date2008-06-06
Last Update Date2008-06-06
Business Address
INTERNAL MEDICINE GROUP OF THE MIDSOUTH PLLC
391 SOUTHCREST CL SUITE 210
SOUTHAVEN, MS 38671
Phone number: 662-536-1520
Mailing Address
INTERNAL MEDICINE GROUP OF THE MIDSOUTH PLLC
391 SOUTHCREST CL 210
SOUTHAVEN, MS 38671
Phone number: 662-536-1520