| NPI | 1215159793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L PRICE Office Manager 601-899-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MS 06707) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-22 |