| NPI | 1437210457 |
|---|---|
| Doing Business As | FAMILY CARE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SYLVIA O BLANCHARD CEO 662-840-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R729086) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |