NPI | 1174904239 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE WALDROP Owner 662-638-3677 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X (Licence: MS 20317) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 20317) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-06-23 |