NPI | 1245352327 |
---|---|
Entity Type | Organization |
Authorized Contact | PIERCE D. DOTHEROW Authorized Official 601-355-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: MS 25C0001033) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2016-12-06 |