| NPI | 1124225214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L MONDAY Administrator 601-296-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 10049) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-12-11 |