| NPI | 1104099472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY E WILLIAMS Administrator 662-252-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |