NPI | 1902401425 |
---|---|
Doing Business As | SHARKEY ISSAQUENA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STEVEN GERALD KEEVER CEO 662-873-4395 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2020-12-02 |
Last Update Date | 2022-09-09 |