| NPI | 1730467382 |
|---|---|
| Doing Business As | DEVINE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOUISE REID CEO 662-402-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |