| NPI | 1164694675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY EUGENE CROSBY President 601-956-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 247989) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |