OrganizationActive
Dermatology Clinic of North Mississippi, P.L.L.C.
NPI 1104980432 · Dermatology Physician · Southaven, MS
Provider details
- NPI number
- 1104980432
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Terri Henson, Managing Member
- License
- 16501 (MS)
Practice location
7585 Claringto Cove
Southaven, MS 38671-5834
Phone: (662) 349-0200
Fax: (662) 349-1666
Mailing address
7585 Clarington Cv
Southaven, MS 38671-5656
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.