| NPI | 1073846770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT COOPER Owner 228-762-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MS 13038) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-12 |