| NPI | 1275713471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L HUTCHINSON Office Manager 601-362-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2024-04-10 |