| NPI | 1548539117 |
|---|---|
| Doing Business As | MEDICAL MALL HEALTH SERVICES AT CMMC |
| Entity Type | Organization |
| Authorized Contact | AARON SHIRLEY Project Director 601-982-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MS 10119) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |