NPI | 1396129714 |
---|---|
Doing Business As | FAMILY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-01-25 |