| NPI | 1003305707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEWATT MCGRAW SIMS Owner 229-387-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 209800000X Legal Medicine | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-07-07 |