| NPI | 1316036973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S CORKERN President 601-573-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MS 12101) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-03-11 |