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: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 DANCY BLVD
HORN LAKE MS
38637-1916
US

IV. Provider business mailing address

1751 DANCY BLVD
HORN LAKE MS
38637-1916
US

V. Phone/Fax

Practice location:
  • Phone: 662-996-9545
  • Fax: 662-493-9196
Mailing address:
  • Phone: 662-996-9545
  • Fax: 662-493-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY BREWINGTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 901-598-4346