| NPI | 1962940908 |
|---|---|
| Doing Business As | LELAND MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMY MCINTIRE Credentialing 662-686-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2018-11-14 |