| NPI | 1003465576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIRMARISHA BANKS Owner/Office Manager 601-488-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| Additional Taxonomies | 335G00000X Medical Foods Supplier |
| 246YC3301X Spec/Tech, Health Info, Coding Specialist, Hospital Based | |
| 251300000X Local Education Agency (LEA) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |