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

Mid-South Rectal Clinic, Inc

Organization Surgery Physician · NPI 1316024193

Mid-South Rectal Clinic, Inc is a Surgery Physician in Bartlett, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6563 Stage Oaks Dr Ste 100
Bartlett, TN 38134-2886
Phone: (901) 362-5252
Fax: (901) 369-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 36972 (TN)

Record details

NPI number1316024193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fox — Provider/Owner · (901) 362-5252
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 1, 2016
Mailing address7550 Lucerne Dr, Suite 405, Middleburg Heights, OH 44130-6588

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