| NPI | 1790827038 |
|---|---|
| Doing Business As | KOSCIUSKO MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACKEY D TURNER Medical Director 662-289-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-10-02 |