NPI | 1093484164 |
---|---|
Doing Business As | BARNES CROSSING MEDICAL CLINIC COVID TESTING CENTER |
Entity Type | Organization |
Authorized Contact | GERALD KIMBROUGH Director 662-377-4685 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-09-10 |
Last Update Date | 2021-09-10 |