NPI | 1962415117 |
---|---|
Doing Business As | EXPRESS CARE SOUTH |
Entity Type | Organization |
Authorized Contact | AMANDA K CRANE Clinic Manager 662-566-5593 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine |
Enumeration Date | 2006-08-15 |
Last Update Date | 2009-02-02 |