| NPI | 1063635829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY MILES SHIRLEY Dentist 601-483-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3104-99) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 136969) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |