| NPI | 1215282991 |
|---|---|
| Doing Business As | SOUTH CENTRAL CLINIC AT WAYNE FARMS |
| Entity Type | Organization |
| Authorized Contact | JAMES T CANIZARO Vice President CFO 601-399-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |