| NPI | 1598769044 |
|---|---|
| Doing Business As | CCH CLINIC FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ANISSA L EVANS Credentialing Director 601-698-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-05-16 |