| NPI | 1407968738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DUNCAN ESTES President 601-372-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 09740) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-06-23 |