| NPI | 1518140599 |
|---|---|
| Doing Business As | MCWILLIE ELEMENTARY SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMMY D CROCKER Lead Nurse 601-209-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |