| NPI | 1730342643 |
|---|---|
| Doing Business As | FMCH CLINIC PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RICHOUX CFO 601-645-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |