NPI | 1104318286 |
---|---|
Doing Business As | ADVANCE MEDICAL HOUSE CALLS & FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | TYE ROLLINS Manager 601-397-4079 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-08-17 |