| NPI | 1467177683 |
|---|---|
| Doing Business As | FAMILY MEDICAL CLINIC VARDAMAN |
| Entity Type | Organization |
| Authorized Contact | JANA EARNEST Office Manager 662-567-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-02-09 |