| NPI | 1841456472 |
|---|---|
| Doing Business As | WESTSIDE COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL R WALKER Clinic Manager 601-982-0673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MS V-014) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MS R656046) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |