NPI | 1255692356 |
---|---|
Doing Business As | FAMILY MEDICINE RESIDENCY CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-06-05 |
Last Update Date | 2025-01-21 |