| NPI | 1225157258 |
|---|---|
| Doing Business As | THE MEDICAL PAVILION |
| Entity Type | Organization |
| Authorized Contact | SHARON L SCRUGGS Family Nurse Practioner 601-782-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS r764114) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-03-30 |