| NPI | 1760965206 |
|---|---|
| Doing Business As | TLC CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRENCHIE COTTON RUSSELL Medical Coordinator 601-427-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-25 |