| NPI | 1104348606 |
|---|---|
| Doing Business As | DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | CLYDE ROZELL CHAPMAN CEO 662-834-0532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-03-17 |