NPI | 1265872782 |
---|---|
Doing Business As | OAK GROVE 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 | 2013-06-28 |
Last Update Date | 2021-02-18 |