| NPI | 1962798439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SINGLETARY Senior Associate Ad 662-915-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |