NPI | 1255521480 |
---|---|
Doing Business As | JASPER MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | TERRY D EVERETT Office Manager 601-787-3464 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS R624705) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2011-11-02 |