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

Mid-South Rectal Clinic, Inc

Organization Surgery Physician · NPI 1316024193

Mid-South Rectal Clinic, Inc provides Surgery Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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