| NPI | 1134593361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C CLINGAN Owner/Physician 601-636-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 13005) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |