| NPI | 1285331298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LLOYD HAMMONS CEO 601-278-4104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QE0002X Clinic/Center Emergency Care |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |