| NPI | 1407166762 |
|---|---|
| Doing Business As | TYLERTOWN HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | EVAN DILLARD President/CEO 601-288-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 11133) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2013-04-11 |