Provider First Line Business Practice Location Address:
1001 S HARPER RD
Provider Second Line Business Practice Location Address:
SPORTS MEDICINE DEPARTMENT
Provider Business Practice Location Address City Name:
CORINTH
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38834-6646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-287-1400
Provider Business Practice Location Address Fax Number:
662-287-8005
Provider Enumeration Date:
02/19/2007