| NPI | 1316128762 |
|---|---|
| Doing Business As | MADISON RIDGELAND MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | INDIRA K VEERISETTY Owner 601-856-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 10202) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-06-11 |