| NPI | 1215023122 |
|---|---|
| Doing Business As | PRENTISS FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-268-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-10-07 |