Healthcare Provider Details
I. General information
NPI: 1831011675
Provider Name (Legal Business Name): SALVE FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1751 DANCY BLVD STE 1&2
HORN LAKE MS
38637-1916
US
IV. Provider business mailing address
1751 DANCY BLVD STE 1&2
HORN LAKE MS
38637-1916
US
V. Phone/Fax
- Phone: 901-598-4346
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
BREWINGTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 901-598-4346