| NPI | 1003915729 |
|---|---|
| Doing Business As | PASS ROAD WALK-IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-05-23 |