# MIDSOUTH MEDICINE

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

## Provider details

- **NPI number:** 1194894147
- **Authorized official:** DR. CIAO ZHENG NEWMAN M.D., B.S., M.A. (PRESIDENT)
- **Authorized official phone:** (662) 342-1112

## Contact information

- **Practice address:** 2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
- **Practice address phone:** (662) 342-1112
- **Practice address fax:** (662) 342-1116
- **Mailing address:** 2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
- **Mailing address phone:** (662) 342-1112
- **Mailing address fax:** (662) 342-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 18647 | MS | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 04/12/2023