| NPI | 1548297021 |
|---|---|
| Doing Business As | PONTOTOC MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Cbo Manager 662-489-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |