NPI | 1740374560 |
---|---|
Former Legal Business Name | SOUTHERN URGENT CARE |
Entity Type | Organization |
Authorized Contact | STEPHEN MASSEY Owner 601-261-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-05-01 |