| 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 |