| NPI | 1386721546 |
|---|---|
| Former Legal Business Name | SAM FILLINGANE DO |
| Entity Type | Organization |
| Authorized Contact | FREIDA L FILLINGANE Office Manager 601-906-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 11114) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-28 |