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Organization
MID SOUTH FIRST CARE
Active
Organization
MID SOUTH FIRST CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MATTOX-RUBIN (OWNER)
(662) 879-2987
Entity
Organization
Contact information
Practice address
4985 FOREST HILL RD S, OLIVE BRANCH, MS 38654-6008
(662) 879-2987
Mailing address
4985 FOREST HILL RD S, OLIVE BRANCH, MS 38654-6008
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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