| NPI | 1619200318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP L BARNES Owner 228-374-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MS 09295) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-12 |