| NPI | 1346973625 |
|---|---|
| Doing Business As | QUITMAN FAMILY & SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARBARA CONWAY Credentialing 662-357-3883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-11-01 |