| NPI | 1124077581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-11-06 |