NPI | 1669575627 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY DUNCAN ESTES President 601-372-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 09740) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2020-08-22 |