| NPI | 1023276946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKECHUKWU HYGINUS OKORIE Medical Director 601-544-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 19875) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2019-09-12 |