| NPI | 1427271840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA V MCCLURE Insurance Clerk 228-832-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-13 |