| NPI | 1801226287 |
|---|---|
| Doing Business As | ELLISVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA MORROW Director Clinc Support 601-425-7550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2015-05-12 |