| NPI | 1811006729 |
|---|---|
| Doing Business As | BARNES CROSSING MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Cbo Manager 662-377-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-07-18 |