NPI | 1508175738 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY JOESPH DYESS President 601-799-3480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 20164) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2010-10-18 |