NPI | 1275629594 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA LEIGH CLEMENTS O PT Ometry 601-605-9885 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS 641) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |