NPI | 1770672339 |
---|---|
Doing Business As | WHEELER FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | MARIE TYUS Office Manager 662-365-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R850588) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2008-07-28 |