| NPI | 1841646148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY D HOOKS Owner/Provider 662-260-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MS R867568) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |