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Organization

MIDSOUTH MENTAL HEALTH SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S SEAY M.D./PH.D. (PRESIDENT/CEO)
(901) 319-4942
Entity
Organization

Contact information

Practice address
530 OAK COURT DR, SUITE 127, MEMPHIS, TN 38117-3726
(901) 319-4942
(901) 729-2412
Mailing address
PO BOX 30727, MEMPHIS, TN 38130-0727
(901) 319-4942
(901) 729-2412

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38502
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516640
TN
Enumeration date
04/28/2010
Last updated
11/05/2013
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