| NPI | 1083339121 |
|---|---|
| Doing Business As | SOUTHERN FAMILY URGENT CARE MOBILE |
| Entity Type | Organization |
| Authorized Contact | BABETTE JACKSON Administrator 251-802-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-02-14 |