| NPI | 1104374750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A AUZENNE President 601-286-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 20220) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: MS 20220) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-03-17 |