| NPI | 1144370552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA C. MUSIAL Solo Practitioner 601-587-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 13704) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |