NPI | 1871098350 |
---|---|
Doing Business As | LEA ANN BYRD |
Entity Type | Organization |
Authorized Contact | LEA ANN BYRD Owner 662-627-2973 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R823849) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2018-05-17 |