| NPI | 1447050828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINEETH-JOSEPH JOHN SANKOORIKAL Physician, Owner 601-287-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-03-15 |