| NPI | 1023747102 |
|---|---|
| Doing Business As | FOUNTAINS INFUSION CENTER |
| Entity Type | Organization |
| Authorized Contact | GEORGE WADE PHILLIPS Owner 601-859-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |