NPI | 1861703720 |
---|---|
Entity Type | Organization |
Authorized Contact | HORRELL H TOWNSEND President 228-832-7799 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 11143) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2014-09-22 |