| NPI | 1649761685 |
|---|---|
| Doing Business As | FOREST FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN P LEE Cob 601-469-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-05-26 |