| NPI | 1225202666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. JACKSON CEO 662-615-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2025-01-24 |