| NPI | 1215193933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE STOKES Medical Director 662-240-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MS MS13926) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |