| NPI | 1992371579 |
|---|---|
| Doing Business As | MONTICELLO FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |