| NPI | 1356402002 |
|---|---|
| Doing Business As | ODOM RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY L VARNER Administrator 662-473-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-12-10 |