Organization
SOUTHERN PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSAM MOUSSELLI MD (SOLE MBR)
(901) 596-7689
Entity
Organization
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 596-7689
Mailing address
PO BOX 382693, GERMANTOWN, TN 38183-2693
(901) 821-0338
(901) 821-0384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
11/22/2011
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