NPI | 1831288281 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY BERNICE THORNTON Family Nurse Practitioner/Co Owner 662-415-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2006-10-12 |
Last Update Date | 2011-10-14 |