NPI | 1912305988 |
---|---|
Doing Business As | ANDERSON FAMILY MEDICAL CLINIC ALDERSGATE |
Entity Type | Organization |
Authorized Contact | JOHN ANDERSON VP 601-703-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-12-08 |
Last Update Date | 2016-04-22 |