| NPI | 1124275581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA CAPRICE CHANDLER Owner 601-445-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R850771) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2012-11-26 |