| NPI | 1699267625 |
|---|---|
| Doing Business As | FAMILY MEDICINE RESIDENCY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID PYLATE Patient Accounts Manager 601-288-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |