| NPI | 1639681976 |
|---|---|
| Doing Business As | ALLEGRO FAMILY CLINIC OF EAST COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | TOMMY GILREATH CFO 662-327-5202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 12550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 06164) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 519308) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |