| NPI | 1033271416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRISSETT Manager 601-944-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-01-13 |