| NPI | 1285126029 |
|---|---|
| Doing Business As | MIDTOWN MOBILE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRIMSLEY Interim CFO 601-815-8732 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |