| 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 |