| NPI | 1760508659 |
|---|---|
| Doing Business As | TRI LAKES PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARRY MORRISON CEO 662-563-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 13-287) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |