NPI | 1902997059 |
---|---|
Entity Type | Organization |
Authorized Contact | FELESHA D PERRIGO Owner/Nurse Practitioner 662-720-4919 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R763457) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2017-11-09 |