MID-SOUTH DIRECT PRIMARY CARE is a primary care clinic center in Petal, MS. MID-SOUTH DIRECT PRIMARY CARE NPI is 1346036977. The provider is registered as an organization entity type.
The provider's business location address is:
1229 MS-42 SUITE 270 PETAL, MS ZIP 39465 Phone: (769) 223-9503 Fax: (601) 336-4925
The provider's authorized official is Ashlee Hendry . The authorized official title is D.o./administrator and has the following contact phone number (769) 223-9503.
The CLIA number assigned to this NPI record is 25D2254328 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2025 and was last updated on 4/18/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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