| NPI | 1992329122 |
|---|---|
| Doing Business As | PANOLA PHYSICIAN GROUP OF SENATOBIA |
| Entity Type | Organization |
| Authorized Contact | ROBERT QUENTIN WHITWELL CEO 662-562-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |