| NPI | 1164078911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON President/CEO 601-553-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |