| NPI | 1740495373 |
|---|---|
| Other Name | POPLARVILLE LOWER ELEMENTARY EPSDT CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOUISE SMITH Support Staff Specialist 601-795-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: MS R859077) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |