| NPI | 1255521480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY D EVERETT Office Manager 601-787-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS R624705) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-11-02 |