| NPI | 1053469700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN HESTER CFO 601-288-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-09-18 |