| 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 |