| NPI | 1952335549 |
|---|---|
| Doing Business As | MEDSERVE |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Central Billing Office Manager 662-377-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-07-18 |