Organization · Type 2 NPI

Addiction Campuses Professional Services of Mississippi, LLC

Addiction Medicine (Psychiatry & Neurology) Physician · Southaven, MS

NPI number 1659990075 Active

Practice location

340 Stateline Rd W
Southaven, MS 38671-1610

Fax (662) 342-0782

Mailing address

205 Reidhurst Ave
Nashville, TN 37203-1618

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

17 other providers at this address

About NPI 1659990075

Addiction Campuses Professional Services of Mississippi, LLC's National Provider Identifier is 1659990075, issued on Apr 15, 2020. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Southaven, MS. The record was last updated on Sep 6, 2023.