NPI | 1972617876 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULINE HATHCOCK Nurse Practitioner 662-834-1855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS R851692) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2008-08-12 |