| NPI | 1699223743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE F. MCLEOD Owner 601-508-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 645982) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |