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 |