NPI | 1831608686 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY NICOLE GRIFFIN Partner/ Owner 601-748-6238 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902069) |
363LF0000X Nurse Practitioner, Family (Licence: MS R871958) | |
Enumeration Date | 2017-09-25 |
Last Update Date | 2022-07-27 |