| NPI | 1710231576 |
|---|---|
| Doing Business As | ICARE |
| Entity Type | Organization |
| Authorized Contact | SHINITA REED DUDLEY Physician 601-714-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 18239) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |