| NPI | 1073118501 |
|---|---|
| Doing Business As | SHARKEY ISSAQUENA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN GERALD KEEVER CEO 662-873-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-05-11 |