| NPI | 1164853206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORIA MILLER Insurance Clerk/Credenital Speciali 601-321-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1827) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |