| NPI | 1730390618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JEAN CAMPBELL C.F.N.P. 662-534-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MS R758732) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |