person
Mr. Timothy M. South, FNP
Family Nurse Practitioner in Kosciusko, Mississippi
NPI 1376506741

Timothy M. South is a Family Nurse Practitioner based in Kosciusko, MS and is specialized in Family. Timothy M. South practices in Kosciusko, MS and has the professional credentials of FNP. The NPI Number for Timothy M. South is 1376506741 and holds a License No. R701483 (Mississippi).

The current practice location address for Timothy M. South is 332 Highway 12 W, Kosciusko, MS and can be reached out via phone at 662-289-1800 and via fax at 662-289-2486.

Location: 332 Highway 12 W, Kosciusko, MS, 39090-3209
person
Provider Profile Details
NPI Number
1376506741
Provider Name
Timothy M. South
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
332 Highway 12 W, Kosciusko, MS, 39090-3209
Phone Number
662-289-1800
Fax Number
662-289-2486
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00114061 05 MS
institution
Provider Business Practice Location Address Details
Address
332 Highway 12 W
City
State
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
662-289-2486
person
Provider Business Mailing Address Details
Address
332 Highway 12 W
City
State
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
662-289-2486
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R701483 (Mississippi)
Definition
Definition to come...
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