Organization
MIDSOUTH MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CIAO ZHENG NEWMAN M.D., B.S., M.A. (PRESIDENT)
(662) 342-1112
Entity
Organization
Contact information
Practice address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
Mailing address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18647
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207004
—
MS
Enumeration date
11/06/2006
Last updated
04/12/2023
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