| NPI | 1104228972 |
|---|---|
| Doing Business As | NORTH CENTRAL MS UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAWNE HOLMES CFO 662-459-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2018-07-02 |