| NPI | 1285700617 |
|---|---|
| Doing Business As | CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL R WALKER Adminstrative Associate 601-982-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS V-014) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MS R729183) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |