| NPI | 1023167558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE YOUNKINS Quality Assurance 601-944-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 17915) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-12-10 |