| NPI | 1245248699 |
|---|---|
| Doing Business As | INDIANOLA FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JIM WOODS Clinic Administrator 662-887-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |