NPI | 1518243443 |
---|---|
Doing Business As | THE CLINIC AT WALMART OXFORD |
Entity Type | Organization |
Authorized Contact | GERALD KIMBROUGH Director 662-377-4685 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2011-10-24 |
Last Update Date | 2023-02-06 |