| NPI | 1124241401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOGIN LOVELACE President 662-234-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086X0206X Surgery, Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-05-27 |