NPI | 1821092552 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D NUNNALLY CEO 662-224-8951 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MS 15021) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2015-04-02 |