| NPI | 1427098003 |
|---|---|
| Doing Business As | ELLISVILLE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA MORROW Director Clinic Support 601-399-6167 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 253437) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-07-25 |