# V A SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** V A SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821152877
- **Authorized official:** MR. MARCUS T HARRIS PT (OWNER)
- **Authorized official phone:** (601) 927-7671

## Contact information

- **Practice address:** 4304 HIGHWAY 80 W STE A, JACKSON, MS 39209-5922
- **Practice address phone:** (601) 636-6019
- **Practice address fax:** (601) 661-8457
- **Mailing address:** PO BOX 3183, RIDGELAND, MS 39158-3183
- **Mailing address phone:** (601) 636-6019
- **Mailing address fax:** (601) 661-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3192 | MS | Yes |
| 225X00000X | Occupational Therapist | OT2019 | MS | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00124552 | — | MS |