NPI | 1700842994 |
---|---|
Doing Business As | MID-SOUTH MULTI SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM B MCCORMICK CFO 870-735-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 174400000X Specialist (Licence: AR N8431) |
207RP1001X Internal Medicine, Pulmonary Disease | |
207X00000X Orthopaedic Surgery | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2014-02-26 |