# INTERNAL MEDICINE GROUP OF THE MIDSOUTH PLLC

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

## Provider details

- **NPI number:** 1609035468
- **Authorized official:** AILEEN S GAYOSO MD (PRESIDENT)
- **Authorized official phone:** (662) 536-1520

## Contact information

- **Practice address:** 391 SOUTHCREST CL, SUITE 210, SOUTHAVEN, MS 38671
- **Practice address phone:** (662) 536-1520
- **Mailing address:** 391 SOUTHCREST CL, 210, SOUTHAVEN, MS 38671
- **Mailing address phone:** (662) 536-1520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15680 | MS | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008