Organization
MIDSOUTH MEDICATION MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RAFAELA MORRISON APRN (OWNER)
(901) 673-3278
Entity
Organization
Contact information
Practice address
8316 MACON TERRACE, STE 103, CORDOVA, TN 38018
(901) 673-3278
Mailing address
11180 HIGHWAY 51 S, ATOKA, TN 38004-4939
(901) 673-3278
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
02/15/2025
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