| NPI | 1255303517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD YELVERTON Medical Director 601-984-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MS 011) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-06-16 |