NPI | 1154008811 |
---|---|
Doing Business As | SUMMIT FAMILY PRACTICE RURAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2023-07-03 |
Last Update Date | 2023-07-03 |