NPI | 1003216516 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIUS M. LAMPTON Doctor 601-783-2374 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2023-03-03 |