| NPI | 1285745885 |
|---|---|
| Doing Business As | FAMILY MEDICINE RESIDENCY CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD WAGES COO 662-377-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-11 |