Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desoto Family Medical Practice, PC

Organization Family Medicine Physician · NPI 1255343273

Desoto Family Medical Practice, PC is a Family Medicine Physician in Olive Branch, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7163 Goodman Rd
Olive Branch, MS 38654-1904
Phone: (662) 895-3700
Fax: (662) 895-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255343273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Tate — Secretary · (662) 895-3700
NPI enumeratedAugust 12, 2006
Last updated in NPPESNovember 19, 2011
Mailing address7163 Goodman Rd, P. O. Box 518, Olive Branch, MS 38654-1904

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