| NPI | 1881909877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN JONES Owner/Physician 731-677-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-10-16 |