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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

NPI Number 1770830077
LBN Legal business name DHP OF DESOTO PROFESSIONAL ASSOCIATION
Authorized official RANDAL DABBS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2012
Last updated 08/07/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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