| NPI | 1851757785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKEBA I BELL Owner 601-421-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R803867) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-10-27 |