| Organization Name: | IMMEDIATE FAMILY CLINIC |
| NPI Number: | 1093045908 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG G PARKER (FNP) |
| Mailing Address: | 2490 Pass Rd Biloxi |
| State: | MS US |
| Postal Code: | 395312838 |
| Phone Number: | 2283853774 |
| Fax Number: | 2283853776 |
| NPI Enumeration Date: | 12/28/2009 |
| NPI Last Update Date: | 12/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | R868142 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |