Organization
MID SOUTH PSYCHIATRY, PLLC
Active
Organization
MID SOUTH PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJAZ S VIRK MD (PRESIDENT)
(901) 681-9895
Entity
Organization
Contact information
Practice address
3173 KIRBY WHITTEN RD, STE 104, MEMPHIS, TN 38134-2881
(901) 681-9895
(901) 377-3633
Mailing address
PO BOX 381554, GERMANTOWN, TN 38183-1554
(901) 681-9895
(901) 377-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
10/24/2024
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