| NPI | 1255883690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN COOK CEO 601-984-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center Endoscopy |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |