| NPI | 1972892321 |
|---|---|
| Doing Business As | RETAIL CLINIC - MADISON |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SINCLAIR VP Of Finance 601-200-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |