# DESOTO ADULT MEDICINE ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1952809014
- **Authorized official:** DR. CHARLES E BROWN MD (OWNER)
- **Authorized official phone:** (662) 349-2377

## Contact information

- **Practice address:** 7900 ARIWAYS BLVD, BLDG C SUITE 1, SOUTHAVEN, MS 38671-4113
- **Practice address phone:** (662) 349-2377
- **Practice address fax:** (662) 349-4347
- **Mailing address:** P O BOX 1000 DEPT 160, MEMPHIS, TN 38148-0001
- **Mailing address phone:** (662) 349-2377
- **Mailing address fax:** (662) 349-4347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15817 | MS | Yes |

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 01/24/2018