| NPI | 1063432383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D. BLUBAUGH Administrator 601-703-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |