| NPI | 1295866168 |
|---|---|
| Other Name | MEADVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALEDA JEAN DILLON Business Office/Rev Cycle Director 601-384-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS I8292) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-11-23 |