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Contact Information

MIDSOUTH RHEUMATOLOGY
8274 HACKS CROSS RD STE 102
OLIVE BRANCH, MS38654-4009
 Phone: 901-370-7406
 Fax: 833-747-1287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDSOUTH RHEUMATOLOGY · (Female)

NPI Number 1932868908
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2021
Last updated 02/02/2026 - About 4 months 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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