| 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 |