Internal Medicine Group Of The Midsouth Pllc

LBN: Internal Medicine Group Of The Midsouth Pllc
Internal Medicine Group Of The Midsouth Pllc is an health care organization with primary practice located at 391 Southcrest Cl Suite 210, Southaven MS 38671. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Group Of The Midsouth Pllc can be contacted via phone (662) 536-1520, or through Gayoso, Aileen S via phone (662) 536-1520.

Contact Information

Primary practice address
391 Southcrest Cl Suite 210 Southaven MS 38671
Phone: (662) 536-1520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gayoso, Aileen S Doctor of Medicine (MD)
Phone: (662) 536-1520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15680 Mississippi

Profile Details

NPI number 1609035468
LBN Legal business name Internal Medicine Group Of The Midsouth Pllc
DBA Doing business as
Authorized official Gayoso, Aileen S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2008
Last updated Jun 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609035468 NPPES
Arkansas MEDICAID 160334001

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