| NPI | 1619274792 |
|---|---|
| Doing Business As | MID-SOUTH MINOR MEDICAL AND PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES R CARTER CEO 870-735-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |