| NPI | 1891056867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED JAFRI President 601-668-4105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036114889) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036114889) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2014-06-23 |