| NPI | 1093835209 |
|---|---|
| Doing Business As | THE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HELEN GBEMUDU Administrator 662-893-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-10-22 |