DESOTO URGENT CARE CLINIC LLC NPI 1346558566

NPI Information

NPI: 1346558566
Provider Name: DESOTO URGENT CARE CLINIC, LLC

Former Legal Business Name: DESOTO PHYSICIANS, LLC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
9215 MILLBRANCH RD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 280-8222
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DESOTO URGENT CARE CLINIC, LLC is an urgent care clinic center in Southaven, MS. DESOTO URGENT CARE CLINIC, LLC NPI is 1346558566. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Desoto Physicians, Llc.

The provider's business location address is:

9215 MILLBRANCH RD
SOUTHAVEN, MS
ZIP 38671-423
Phone: (662) 280-8222
Fax: (662) 280-5541

The provider's authorized official is Ulric D. Duncan .
The authorized official title is President and has the following contact phone number (662) 280-8222.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

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: 11/14/2023

NPI Synchronization or Removal

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