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Organization
DESOTO ADULT MEDICINE ASSOCIATES, PLLC
Active
Organization
DESOTO ADULT MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E BROWN MD (OWNER)
(662) 349-2377
Entity
Organization
Contact information
Practice address
7900 ARIWAYS BLVD, BLDG C SUITE 1, SOUTHAVEN, MS 38671-4113
(662) 349-2377
(662) 349-4347
Mailing address
P O BOX 1000 DEPT 160, MEMPHIS, TN 38148-0001
(662) 349-2377
(662) 349-4347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15817
MS
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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