Midsouth Integrative Medical, Inc

LBN: Midsouth Integrative Medical, Inc
Midsouth Integrative Medical, Inc is an health care organization with primary practice located at 7651 Tchulahoma Rd , Southaven MS 38671-9227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Midsouth Integrative Medical, Inc can be contacted via phone (662) 349-0980, or through Chastant-Qualls, Meagan via phone (662) 349-0980.

Contact Information

Primary practice address
7651 Tchulahoma Rd Southaven MS 38671-9227
Phone: (662) 349-0980
Fax: (662) 349-0980
Website:
Map and Directions
Authorized official contact:
Name: Chastant-Qualls, Meagan Family Nurse Practitioner (FNP)
Phone: (662) 349-0980

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1568089993
LBN Legal business name Midsouth Integrative Medical, Inc
DBA Doing business as
Authorized official Chastant-Qualls, Meagan Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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