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Contact Information

DHP OF DESOTO PROFESSIONAL ASSOCIATION
7601 SOUTHCREST PKWY
SOUTHAVEN, MS38671-4739
 Phone: 662-772-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Hospitalist

208M00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DHP OF DESOTO PROFESSIONAL ASSOCIATION · (Female)

NPI # 1770830077
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2012
Last updated 08/07/2012 - About 14 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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