| NPI | 1063786036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE WILLIAMSON President 601-899-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |