NPI | 1285967943 |
---|---|
Entity Type | Organization |
Authorized Contact | IPHOGENIER BARRY President 601-981-7198 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R733308) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R718637) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2009-09-14 |