institution
Newsom Healthcare Of Desoto County, Llc
Primary Care Clinic/Center in Horn Lake, Mississippi
NPI 1205243649

Newsom Healthcare Of Desoto County, Llc is a Primary Care Clinic/Center based in Horn Lake, MS and is specialized in Primary Care. Newsom Healthcare Of Desoto County, Llc practices in Horn Lake, MS. The NPI Number for Newsom Healthcare Of Desoto County, Llc is 1205243649 and holds a License No. R852706 (Mississippi).

The current practice location address for Newsom Healthcare Of Desoto County, Llc is 2906 Goodman Rd W, Horn Lake, MS and can be reached out via phone at 662-393-8022 and via fax at 662-393-8052.

Location: 2906 Goodman Rd W, Horn Lake, MS, 38637-1291
institution
Provider Profile Details
NPI Number
1205243649
Provider Name
Newsom Healthcare Of Desoto County, Llc
Credential
Provider Entity Type
Organization
Address
2906 Goodman Rd W, Horn Lake, MS, 38637-1291
Phone Number
662-393-8022
Fax Number
662-393-8052
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00117535 05 MS
institution
Provider Business Practice Location Address Details
Address
2906 Goodman Rd W
City
State
Zip
38637-1291
Phone Number
662-393-8022
Fax Number
662-393-8052
person
Provider Business Mailing Address Details
Address
2906 Goodman Rd W
City
State
Zip
38637-1291
Phone Number
662-393-8022
Fax Number
662-393-8052
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
R852706 (Mississippi)
Definition
Definition to come...
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