| NPI | 1720308604 |
|---|---|
| Doing Business As | BORDERS-BLACKWELL MEDICAL & WELLNESS CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MICHELLE PORTER Revenue Coordinator 662-588-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |