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 |