| Desoto Family Medical Practice, P.c. | |
|
7163 Goodman Rd Olive Branch MS 38654-1904 | |
| (662) 895-3700 | |
| (662) 895-4886 |
| Full Name | Desoto Family Medical Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7163 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Karen M Tate (SECRETARY) |
| Authorized Official Contact | 6628953700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Family Medical Practice, P.c. 7163 Goodman Rd P. O. Box 518 Olive Branch MS 38654-1904 Ph: (662) 895-3700 | Desoto Family Medical Practice, P.c. 7163 Goodman Rd Olive Branch MS 38654-1904 Ph: (662) 895-3700 |
| NPI Number | 1255343273 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 11/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255343273 | NPI | - | NPPES |
| 512G700011 | Other | MS | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6953 Oak Forest Dr, Olive Branch, MS 38654 Phone: 662-893-0450 Fax: 662-893-0460 | |
Mcclatchy Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7235 Hacks Cross Rd, Olive Branch, MS 38654 Phone: 662-893-7878 | |
Desoto Primary Care Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6942 Autumn Oaks Dr, Olive Branch, MS 38654 Phone: 901-517-9171 | |
Olive Branch Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Midsouth Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8150 Lake View Dr, Olive Branch, MS 38654 Phone: 901-246-6955 | |
Specialty Care Extended Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Goodman Rd, Suite D, Olive Branch, MS 38654 Phone: 901-634-8641 Fax: 662-420-7147 |