| NPI | 1164433678 |
|---|---|
| Other Name | MATTHEW CASSELL, MD |
| Entity Type | Organization |
| Authorized Contact | WENDY TURNER Clinic Manager 601-482-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MS 20329) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-09-11 |