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 |