| NPI | 1053574210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY ANN DOIRON Nurse Practitioner 601-661-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS R861797) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |