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NPI 1528074184

OrganizationActive

Desoto Surgery Clinic LLC

NPI 1528074184 · Clinic/Center · Southaven, MS

Provider details

NPI number: 1528074184
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Michael Foster, Medical Director

Practice location

7580 Clarington Cv

Southaven, MS 38671

Phone: (662) 536-1545

Fax: (662) 536-8220

More MS providers

Mailing address

7580 Clarington Cv

Southaven, MS 38671

Registry dates

Enumerated: 2006-08-01
Last updated: 2008-03-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Desoto Surgery Clinic LLC — NPI 1528074184, Southaven, MS | NPI Central