| NPI | 1366905028 |
|---|---|
| Doing Business As | PANOLA FAMILY AND SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT Q WHITWELL CEO 662-563-5611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-10-10 |