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Contact Information

SOUTHLAND RECOVERY, PLLC
8830 CENTRE ST STE 5
SOUTHAVEN, MS38671-2609
 Phone: 662-510-2523
 Fax: 662-510-2527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for SOUTHLAND RECOVERY PLLC · (Female)

NPI # 1508439910
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2021
Last updated 07/22/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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