| NPI | 1568633543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEO BAKER President And CEO 662-746-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 15475) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-11-12 |