NPI | 1215396577 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN H BEDELLS Owner 601-573-7012 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R733261) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2023-11-14 |