# MISSOURI INJURY CLINICS SOUTH, LLC

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

## Provider details

- **NPI number:** 1093520132
- **Authorized official:** JOSEPH L. HOLLINGSWORTH DC (MANAGER)
- **Authorized official phone:** (636) 262-3086

## Contact information

- **Practice address:** 11144 TESSON FERRY RD STE 200, SAINT LOUIS, MO 63123-6965
- **Practice address phone:** (636) 262-3086
- **Mailing address:** 11144 TESSON FERRY RD STE 200, SAINT LOUIS, MO 63123-6965
- **Mailing address phone:** (636) 262-3086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2025
- **Last updated:** 02/07/2025