| NPI | 1023340874 |
|---|---|
| Doing Business As | FMCH FIELD CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEREMY CHAD NETTERVILLE CEO 601-645-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |