| NPI | 1629522636 |
|---|---|
| Doing Business As | MADISON COUNTY OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | AMY HALSTEAD Credentialing Specialist 601-276-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |