Organization
REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK EVIN DENMAN SR. (CEO/PRESIDENT)
(901) 246-0767
Entity
Organization
Contact information
Practice address
7420 GUTHRIE DR N, STE. 108, SOUTHAVEN, MS 38671-5876
(662) 349-9802
Mailing address
7600 AIRWAYS BLVD, SUITE G, SOUTHAVEN, MS 38671-5138
(662) 349-9802
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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