NPI | 1417132044 |
---|---|
Doing Business As | CORKERN FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | MISSY CORKERN VP 601-572-0386 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MS 12101) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |