| NPI | 1528929528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEEDA HALL Owner/Physician 601-658-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |