| NPI | 1053194233 |
|---|---|
| Doing Business As | MEA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM M GRANTHAM CEO 601-898-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |