Organization
MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD HUMFELD (OFFICE MANAGER)
(662) 396-9447
Entity
Organization
Contact information
Practice address
5740 GETWELL RD BLDG 6, SOUTHAVEN, MS 38672-6346
(662) 396-9447
(662) 396-9449
Mailing address
5740 GETWELL RD BLDG 6, SOUTHAVEN, MS 38672-6346
(662) 396-9447
(662) 396-9449
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18354
MS
Other
Enumeration date
11/28/2011
Last updated
10/07/2014
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