Trace Medical Clinic, Pllc Valid NPI
Organization · Family Medicine Physician · Kosciusko, MS
- NPI
- 1376846469
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- Enumerated
- 2010-12-10
- Last updated
- 2010-12-10
Practice location
530 Veterans Memorial Dr
Kosciusko, MS 39090-3858
(662) 289-9155