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Drive Right, Llc
Multi-Specialty Clinic/Center in Southaven, Mississippi
NPI 1962131979

Drive Right, Llc is a Multi-Specialty Clinic/Center based in Olive Branch, MS and is specialized in Multi-Specialty. Drive Right, Llc practices in Southaven, MS. The NPI Number for Drive Right, Llc is 1962131979 and holds a License No. (Mississippi).

The current practice location address for Drive Right, Llc is 201 Stateline Rd W Ste 5A, Southaven, MS and can be reached out via phone at 662-253-8959 and via fax at 662-470-6918.

Location: 201 Stateline Rd W Ste 5A, Southaven, MS, 38654-7640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962131979
Provider Name
Drive Right, Llc
Credential
Provider Entity Type
Organization
Address
201 Stateline Rd W Ste 5A, Southaven, MS, 38654-7640
Phone Number
662-253-8959
Fax Number
662-470-6918
Provider Enumeration Date
06/06/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
904198 01 MS MS BOARD OF NURSING
1972129609 01 MS NURSE PRAC INDIVIDUAL NPI
14740 01 MS MS BOARD OF MEDICINE MEDICAL LICENSE
1922003037 01 MD PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
201 Stateline Rd W Ste 5A
City
Southaven
State
Mississippi
Zip
38671-1600
Phone Number
662-253-8959
Fax Number
662-470-6918
person
Provider Business Mailing Address Details
Address
201 Stateline Rd W Ste 5A
City
Southaven
State
Mississippi
Zip
38671-1600
Phone Number
662-253-8959
Fax Number
662-470-6918
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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