| NPI | 1104574847 |
|---|---|
| Doing Business As | AURELIA JONES - TAYLOR ADMINISTRATIVE COMPLEX |
| Entity Type | Organization |
| Authorized Contact | CANDACE L FONDREN Revenue Cycle Manager 662-624-4292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-08-19 |