| NPI | 1003166745 |
|---|---|
| Doing Business As | SOUTH MADISON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Director 662-377-4685 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-02-18 |