MID-SOUTH DIRECT PRIMARY CARE; NPI #1346036977

Contact Information

MID-SOUTH DIRECT PRIMARY CARE

1229 MS-42 SUITE 270
PETAL, MS 39465

Phone: 769-223-9503
Fax: 601-336-4925
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for MID-SOUTH DIRECT PRIMARY CARE

NPI Number	`1346036977`
LBN Legal business name	MID-SOUTH DIRECT PRIMARY CARE
Authorized official	ASHLEE HENDRY - (D.O./ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	04/18/2025
Last updated	04/18/2025 - More than a year 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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