| NPI | 1518046705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C HILLMAN Family Practice 662-327-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MS MS06420) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |