Organization
DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI H. HENSON M.D. (MANAGING MEMBER)
(662) 349-0200
Entity
Organization
Contact information
Practice address
7585 CLARINGTO COVE, SOUTHAVEN, MS 38671-5834
(662) 349-0200
(662) 349-1666
Mailing address
7585 CLARINGTON CV, SOUTHAVEN, MS 38671-5656
(662) 349-0200
(662) 349-1666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16501
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015946
—
MS
Enumeration date
12/21/2006
Last updated
01/07/2021
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