| NPI | 1275566515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY President 601-849-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-02 |