| NPI | 1033428990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA MICHELLE MCMILLIAN Office Manager 228-875-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 12585) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |