| NPI | 1912019092 |
|---|---|
| Doing Business As | HEALTHY START |
| Entity Type | Organization |
| Authorized Contact | WAYNE SLOCUM President 662-680-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-08-18 |