| NPI | 1225303068 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SIDDEEQAH DAAIYAH BILAL Psychiatrist 601-291-5951  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MS 21181)  | 
| Enumeration Date | 2012-03-13 | 
| Last Update Date | 2013-07-25 |