NPI | 1699005983 |
---|---|
Doing Business As | THE VILLAGE CLINIC |
Entity Type | Organization |
Authorized Contact | CHRISTAL ROGERS Clinic Manager 601-952-0673 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-01-08 |
Last Update Date | 2010-01-08 |