| NPI | 1780887133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OLUSOLA OKUNOREN Medical Director 601-923-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 08027) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-10-22 |