NPI | 1346552726 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE PATE MCGEHEE Owner/Family Nurse Practitioner 662-417-1710 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS R745671) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2023-10-03 |