| NPI | 1568816643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STRONG Family Nurse Practitioner/ Owner 601-613-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-18 |