NPI | 1801998042 |
---|---|
Doing Business As | MABEN MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | GERALD KIMBROUGH Manager 662-377-4685 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-01 |
Last Update Date | 2020-08-22 |