NPI | 1801503388 |
---|---|
Other Name | I. T. MONTGOMERY ELEMENTARY CLINIC |
Entity Type | Organization |
Authorized Contact | NORA CECELIA GOUGH-DAVIS Fnp 662-754-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-03 |