| NPI | 1609979053 |
|---|---|
| Doing Business As | PONTOTOC HOSPITAL ER PHYS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A REPPERT CFO 662-377-3978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: MS 16-091) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-11 |