| NPI | 1073697405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR A ROGERS President 228-374-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: n/a) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |