| NPI | 1093024648 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Manager 662-377-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2023-02-06 |