| NPI | 1710708904 |
|---|---|
| Doing Business As | MONTICELLO FAMILY PRACTICE RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |