| NPI | 1245512417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN HESTER CFO 601-288-4225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 11-257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 11-257) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2017-09-12 |