| NPI | 1497096036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAZEE AMEIR AHMAD Owner 601-917-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 14494) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-06-24 |