NPI | 1043716525 |
---|---|
Doing Business As | MMC2 |
Entity Type | Organization |
Authorized Contact | SYLVIA CHAMBERS SIMON Medical Director 870-723-4513 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |