| NPI | 1255713889 |
|---|---|
| Doing Business As | NP FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARRICKA THOMAS Nurse Practitioner 228-326-9951 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-01-15 |