MID SOUTH MED LLC NPI 1356893226

NPI Information

NPI: 1356893226
Provider Name: MID SOUTH MED, LLC

Doing Business As: WELLNESS WALK-IN CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9160 HIGHWAY 64
SUITE 5
LAKELAND, TN
ZIP 38002
Phone: (901) 623-3587
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MID SOUTH MED, LLC is a primary care clinic center in Lakeland, TN. MID SOUTH MED, LLC NPI is 1356893226. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Walk-in Clinic.

The provider's business location address is:

9160 HIGHWAY 64
SUITE 5
LAKELAND, TN
ZIP 38002-766
Phone: (901) 623-3587
Fax: (901) 213-9235

The provider's authorized official is Oliver Banks .
The authorized official title is Office Manager and has the following contact phone number (901) 497-1040.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

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	261QP2300X	Clinic/Center	Primary Care	MD0000006816	TENNESSEE	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: 5/5/2024

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