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Desoto Osteopathic

Internal Medicine Physician in Southaven, MS · enumerated 2006 · authorized official Debbie Clark, Biller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558382200

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Registry record

Entity type Organization (Type 2)
Legal business name Desoto Osteopathic
Practice address 187 Stateline Rd E, Suite #10, Southaven, MS, 38671
Fax (662) 393-9753
Enumeration date Jul 21, 2006
Last updated in NPPES Oct 22, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 15380 (MS) Primary

Authorized official

Name Debbie Clark
Title Biller

Other identifiers

Identifier Type State Issuer
4031960 Other TN BLUE CROSS OF TENNESSEE
0118418 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Desoto Osteopathic located?
The practice location on file with NPPES is in Southaven, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-22.