# DHS ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1184147431
- **Authorized official:** KRISTINA MATERNA (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (901) 377-8219

## Contact information

- **Practice address:** 589 GARFIELD ST, TUPELO, MS 38801-6301
- **Practice address phone:** (662) 680-5565
- **Practice address fax:** (662) 840-8636
- **Mailing address:** PO BOX 21, TUPELO, MS 38802-0021
- **Mailing address phone:** (662) 680-5565
- **Mailing address fax:** (662) 840-8636

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 02/02/2026