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Organization

CONRAD PEARSON CLINIC PC

Active
Parent organization
CONRAD PEARSON CLINIC PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONRAD PEARSON CLINIC PC
Authorized official
PAUL EBER MD (AUTHORIZED OFFICIAL)
(901) 252-3411
Entity
Organization

Contact information

Practice address
125 GUTHRIE DR STE 100, SOUTHAVEN, MS 38671-5829
(662) 349-1964
Mailing address
125 GUTHRIE DR STE 100, SOUTHAVEN, MS 38671-5829
(662) 349-1964

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/03/2024
Last updated
06/24/2025
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