| NPI | 1265593156 |
|---|---|
| Doing Business As | PICAYUNE FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-02-18 |