| NPI | 1194833400 |
|---|---|
| Doing Business As | TRACE FAMILY HEALTH & INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHEILA BROCKMAN CEO 662-456-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2024-01-18 |