| NPI | 1093550063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON CRAIG CRANFORD Physician Owner 601-310-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |