# MIDSOUTH MEDICATION MANAGEMENT PLLC

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

## Provider details

- **NPI number:** 1689487811
- **Authorized official:** MARY RAFAELA MORRISON APRN (OWNER)
- **Authorized official phone:** (901) 673-3278

## Contact information

- **Practice address:** 8316 MACON TERRACE, STE 103, CORDOVA, TN 38018
- **Practice address phone:** (901) 673-3278
- **Mailing address:** 11180 HIGHWAY 51 S, ATOKA, TN 38004-4939
- **Mailing address phone:** (901) 673-3278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 02/15/2025
