| NPI | 1043503832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA O AREGHAN President 601-981-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R831972) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |