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 |