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Desoto Osteopathic

NPI 1558382200ActiveOrganization· Internal Medicine· Southaven, MS

Internal Medicine in Southaven, Mississippi, registered in NPPES in July 2006. The authorized official on file is Debbie Clark, Biller.

Overview

NPI1558382200
StatusActive
Entity typeOrganization
NPI issuedJul 21, 2006
Last updated in NPPESOct 22, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X15380MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in Southaven

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