| NPI | 1083782775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE PRIDGEN Interim Superintendent Msd 601-984-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS AO661) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |