# AHP OF SOUTHAVEN, INC

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

## Provider details

- **NPI number:** 1164666251
- **Authorized official:** ULRIC DUNCAN MD (OWNER)
- **Authorized official phone:** (662) 280-8222

## Contact information

- **Practice address:** 9140 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1233
- **Practice address phone:** (662) 280-8222
- **Practice address fax:** (662) 280-5541
- **Mailing address:** 2727 PACES FERRY RD SE, BUILDING 2 SUITE 400, ATLANTA, GA 30339-4053
- **Mailing address phone:** (678) 223-7726
- **Mailing address fax:** (678) 388-1759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 04/21/2009