| NPI | 1386470367 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEIGH CAIN Credentialing 662-809-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |