# MID-SOUTH MINIMALLY INVASIVE OB/GYN SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093082828
- **Authorized official:** TORRANCE R. LEWIS MD (OWNER)
- **Authorized official phone:** (901) 729-7973

## Contact information

- **Practice address:** 8065 CLUB PKWY, SUITE 1, CORDOVA, TN 38016-5967
- **Practice address phone:** (901) 729-7973
- **Practice address fax:** (901) 343-0491
- **Mailing address:** 8065 CLUB PKWY, SUITE 1, CORDOVA, TN 38016-5967
- **Mailing address phone:** (901) 729-7973
- **Mailing address fax:** (901) 343-0491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 05/08/2012
