| NPI | 1740350628 |
|---|---|
| Doing Business As | SLUDER MEDICAL CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA WYNN Billing Manager 662-429-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-04-03 |