| NPI | 1669991337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNY HUMES CEO 662-293-7664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |