NPI | 1144582040 |
---|---|
Doing Business As | SOUTHERN FAMILY URGENT CARE |
Entity Type | Organization |
Authorized Contact | AMANDA R MIZELL Owner 251-510-8175 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2012-06-15 |
Last Update Date | 2023-02-14 |