| NPI | 1104366087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R. BRENT Owner/Physician 601-579-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 09082) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-06-12 |