| NPI | 1265874648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORTON F GRINNELL President 228-263-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |