| NPI | 1467767988 |
|---|---|
| Other Name | PINE BELT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JERRY MAYO Executive Director 601-544-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |