| NPI | 1285956334 |
|---|---|
| Doing Business As | S.E. LACKEY MEMORIAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JOHN P LEE Chairman Of The Board 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MS 13-033) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 13-033) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2020-05-26 |