Organization
ADULT NEUROLOGY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBASHIS BISWAS M.D. (NEUROLOSIST)
(662) 536-0577
Entity
Organization
Contact information
Practice address
401 SOUTHCREST CIR, SUITE 210, SOUTHAVEN, MS 38671-6726
(662) 536-0577
(662) 536-0566
Mailing address
401 SOUTHCREST CIR, SUITE 210, SOUTHAVEN, MS 38671-6726
(662) 536-0577
(662) 536-0566
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD#18215
MS
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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