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Organization

MIDSOUTH RHEUMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA PUTHALON KUNNATH (OWNER/MD)
(901) 370-7406
Entity
Organization

Contact information

Practice address
8274 HACKS CROSS RD STE 102, OLIVE BRANCH, MS 38654-4009
(901) 370-7406
(833) 747-1287
Mailing address
8274 HACKS CROSS RD STE 102, OLIVE BRANCH, MS 38654-4009
(901) 370-7406
(833) 747-1287

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
12/16/2021
Last updated
02/02/2026
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