| NPI | 1487432852 |
|---|---|
| Doing Business As | MISSISSIPPI UROLOGY CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | HAROLD JASON BLALOCK President 601-353-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |