NPI | 1124392329 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT NICAUD Office Manager/Administrator 228-867-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R878630) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2012-03-06 |