| NPI | 1699038521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSE MICHAEL REED Physician Owner President 601-445-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 10009) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |