| NPI | 1093278582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY DANJACK LYNCH Physician/Member 601-520-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |