# MID-SOUTH OB-GYN PLLC

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

## Provider details

- **NPI number:** 1952136301
- **Authorized official:** DR. CANDACE DENISE HINOTE MD (PRACTICE MANAGER - PARTNER)
- **Authorized official phone:** (901) 747-1200

## Contact information

- **Practice address:** 6215 HUMPHREYS BLVD STE 100, MEMPHIS, TN 38120-2382
- **Practice address phone:** (901) 747-1200
- **Practice address fax:** (901) 747-1645
- **Mailing address:** 6215 HUMPHREYS BLVD STE 100, MEMPHIS, TN 38120-2382
- **Mailing address phone:** (901) 747-1200
- **Mailing address fax:** (901) 747-1645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2024
- **Last updated:** 12/18/2024