| NPI | 1215963616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED BERNARD JOHNSON Laparoscopic And General Surgeon 601-799-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 19035) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-11-14 |