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Organization
MID SOUTH WELLNESS CENTER, INC
Active
Organization
MID SOUTH WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY RAY FLOYD MD (OWNER)
(901) 873-2555
Entity
Organization
Contact information
Practice address
7662 HIGHWAY 51NORTH, SUITE 2, MILLINGTON, TN 38053
(901) 873-2555
(901) 873-2561
Mailing address
7662 HIGHWAY 51NORTH, SUITE 2, MILLINGTON, TN 38053
(901) 873-2555
(901) 873-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000028821
TN
Other
Enumeration date
01/10/2007
Last updated
12/06/2007
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