| 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 |