Organization
BAPTIST MEMORIAL HOSPITAL DESOTO
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
MR. GREGORY M DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 349-4000
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 877-6713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0300
MS
Other
Enumeration date
06/21/2006
Last updated
10/01/2020
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